Resumen

VEAS, NICOLÁS et al. Litoplastía iliaco-femoral para implante transcatéter de válvula órtica. Rev. méd. Chile [online]. 2020, vol.148, n.4, pp.548-552. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872020000400548.

Transcatheter aortic valve implantation (TAVI) has a lower perioperative risk than traditional surgery mostly when the transfemoral access is used. Some patients have anatomical conditions that contraindicate the use of this route. Lithoplasty is a novel technique that fractures calcium in coronary and peripheral arteries using pulsatile waves transmitted through an angioplasty balloon. We report an 83 year-old male with an aortic stenosis requiring TAVI, with severe calcification of his femoral and aortic arteries. A balloon lithoplasty of the right iliac-femoral tract was carried out, which allowed the use of the transfemoral route to install the aortic prosthesis. The patient had a good subsequent evolution.

Palabras clave : Peripheral Arterial Disease; Aortic Valve Stenosis; Transcatheter Aortic Valve Replacement.

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