St Vincent's Hospital, Sydney, NSW, Australia; University of New South Wales, Sydney, NSW, Australia.
St Vincent's Hospital, Sydney, NSW, Australia; University of New South Wales, Sydney, NSW, Australia; University of Notre Dame, Sydney, NSW, Australia.
Heart Lung Circ. 2022 Nov;31(11):e135-e139. doi: 10.1016/j.hlc.2022.07.016. Epub 2022 Aug 17.
Peripheral vascular assessment is important in pre-procedural planning for transcatheter aortic valve implantation (TAVI). While alternative vascular access sites have been used in patients with hostile iliofemoral anatomy, femoral access has been established as the superior access method for procedural outcomes. Intravascular lithotripsy (IVL) can facilitate transfemoral access for TAVI in patients with calcific stenoses of the iliofemoral arteries. This How-To-Do-It article describes the procedural planning and methods for performing IVL in these patients.
外周血管评估在经导管主动脉瓣植入术（TAVI）的术前规划中非常重要。虽然在髂股解剖结构不佳的患者中已经使用了其他血管入路，但股动脉入路已被确立为手术结果的首选入路方法。血管内碎石术（IVL）可以为髂股动脉有钙化狭窄的 TAVI 患者提供经股动脉入路的便利。本文详细介绍了在这些患者中进行 IVL 的操作流程和方法。
