Shockwave™Peripheral Intravascular Lithotripsy Balloon for Advanced Endovascular Aortic Repair

Who can take part

• Patient (m/f) age ≥ 18 years at time of enrollment
• Diagnosis of thoracic and/or thoraco-abdominal (Extent I-V) and juxta/para-renal/short-neck aneurysm requiring the implantation of a thoracic and/or thoraco-abdominal fenestrated/branched aortic endograft with delivery system introducer sheath diameter equal or larger than 18 Fr (6 mm)
• Hostile iliac access was defined in the presence of:; Heavily circumferential calcified iliac arteries; Inner diameter ≤ 6 mm; Severe stenosis (> 50%; > 2.5 m/s peak velocity; absence of triphasic duplex signal in ipsilateral common femoral artery)
• We will accept the following presentations of aneurysm:; urgent cases,; elective,; symptomatic; and fast growing
• The repair was performed using Shockwave™ before the introduction of the main endograft. The iliac procedures can be accompanied by angioplasty and/or stent and stent-graft positioning

Who cannot take part

• Patients submitted to surgical conduit bypass
• Not-severely calcified disease (absence of calcification)
• Any significant medical condition which, in the investigator's opinion, may interfere with the subject's optimal participation in the study
• In-stent restenosis/occlusion
• Inability to cross with 0.014 guidewire
• Pre-stented iliac access vessels at the level of Shockwave implementation