Intravascular Lithotripsy Does Not Avoid Stenting in the Common Femoral Artery
Maxime Dubosq-Lebaz1, Victoire Jacomino1, Lucie Mercier1
1Department of Vascular Surgery, Ambroise Paré University Hospital, Assistance Publique-Hôpitaux de Paris, 92104, Boulogne, Billancourt, France.
Cardiovascular and Interventional Radiology
|October 15, 2025
Summary
Intravascular lithotripsy (IVL) effectively treats calcified common femoral artery (CFA) lesions. An aggressive stenting strategy after IVL significantly improves mid-term vessel patency compared to non-stenting.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Devices
Background:
- Calcified occlusive lesions in the common femoral artery (CFA) are linked to poor outcomes with endovascular treatment.
- Intravascular lithotripsy (IVL) is an innovative approach for preparing calcified vessels.
Purpose of the Study:
- To evaluate the safety and efficacy of IVL for treating calcified CFA lesions.
- To determine the impact of adjunctive stenting on mid-term patency after IVL.
Main Methods:
- Retrospective, single-center observational study analyzing 37 lesions in 30 patients.
- IVL applied to moderate or severe calcifications (plaque > 180° circumference).
- Data on demographics, procedural outcomes, and follow-up were collected and analyzed.
Main Results:
- IVL achieved satisfactory vessel preparation in 81% of lesions, with a median luminal gain of 50%.
- No intra or postoperative complications were observed.
- Primary patency at 6 months was 100% in the stenting group versus 75% in the non-stenting group (p=0.049).
Conclusions:
- An aggressive stenting strategy following IVL in the CFA is recommended.
- These findings challenge the conventional
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