Peripheral intravascular lithotripsy in transcatheter aortic valve implantation: a case report

Peripheral IVL appears to be a safe and effective solution for TAVR candidates with co-existing iliofemoral calcifications. Using peripheral IVL to facilitate TF access should be part of the TAVR algorithm, to maintain the safety profile and superior outcomes of traditional TF-TAVR. More research is needed to improve the understanding of anatomical selection for IVL in TAVR candidates. Operators performing IVL-assisted TF-TAVR should be familiar with endovascular interventions and bailout solutions, not so much to treat IVL-treated lesions, but to be able to treat any vascular complication that may occur at the puncture site.