Intravascular Lithotripsy in High Risk Calcified Iliac Anatomy for Transfemoral TAVR
To assess the efficacy and safety of Intravascular Lithotripsy (IVL) in subjects undergoing transfemoral TAVR in patients with severe iliac disease, prohibitive for transfemoral TAVR in patients with severe symptomatic aortic stenosis, otherwise considered for alternative access TAVR. (e.g. trans-carotid)
• Age 18 to 90 years of age, inclusive, at the time of signing the informed consent
• Iliofemoral disease warrants treatment, per routine guidelines (greater than 50% stenosis and heavy calcification of the iliac's).
• Severe symptomatic aortic stenosis and undergoing a planned TAVR procedure
• Prohibitive iliofemoral disease, as determined by the diagnostic CT abdomen and pelvis.
• Subjects can provide written, informed consent.