{"pk":35499,"title":"Emergency Intravascular Aortic and Iliac Artery Lithotripsy to Facilitate Thoracic Endovascular Aortic Repair of a Ruptured Thoracic Aortic Aneurysm: A Case Report","subtitle":null,"abstract":"Thoracic endovascular aortic repair (TEVAR) is the preferred treatment for ruptured thoracic aortic aneurysms. Poor access vessels are a relative contraindication to TEVAR. Intravascular lithotripsy (IVL) has recently been shown to be effective in treating calcified and stenotic vessels. Prior to the introduction of IVL, plaque modification techniques to increase vessel compliance and luminal diameter were limited to technically complex and risky surgical and interventional radiologic procedures. We present a case demonstrating the use of IVL in the emergency setting to treat severe atherosclerotic stenoses in the abdominal aorta and the iliac artery to facilitate TEVAR of a ruptured thoracic aortic aneurysm.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Intravascular lithotripsy, thoracic endovascular aneurysm repair, thoracic aortic aneurysm, atherosclerosis"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9t22q5fg","frozenauthors":[{"first_name":"Tyler","middle_name":"","last_name":"Callese","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Max","middle_name":"","last_name":"Padgett","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Murray","middle_name":"","last_name":"Kwon","name_suffix":"","institution":"Department of Surgery, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"John","middle_name":"M","last_name":"Moriarty","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2020-01-30T02:48:37Z","date_accepted":"2020-01-30T02:48:37Z","date_published":"2021-10-14T16:07:38Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35499/galley/26427/download/"}]}