Lithotripsy-assisted femoral artery access for percutaneous endovascular aortic repair
Chukwuma Nwachukwu1, Karan Garg1
1Division of Vascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY.
Insights
Severe femoral artery calcification can prevent aortic endovascular repair. This case study demonstrates successful endovascular aortic repair using lithotripsy to facilitate access through a calcified artery, avoiding open surgery.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Femoral artery calcification is a common challenge during endovascular aortic repair.
- Severe calcification can necessitate open surgical exposure, increasing risks and recovery time.
Abstract:
The presence of calcification in the femoral arteries can, at times, preclude patients from undergoing percutaneous endovascular repair of the aorta. Here, we present a case of endovascular aortic repair performed using lithotripsy-assisted femoral artery access. A heavily calcified common femoral artery was able to be treated using a lithotripsy balloon inserted from the contralateral femoral artery to allow percutaneous large-bore access. The purpose of this technique was to allow for endovascular aortic repair while avoiding the morbidity and increased hospital stay associated with open exposure of the femoral artery.
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