79 years old patient presenting an aortic valve stenosis requires a TAVR procedure and suffering from aorto-iliac occlusive disease (3 mm lumen RCIA & 2.4 mm lumen LCIA). After TAVR delivery through femoral access proved impossible, Shockwave IVL was performed by Dr. Georges Ghanem which enabled safe and successful TAVR delivery.
![](https://scontent.fbey5-2.fna.fbcdn.net/v/t39.30808-6/s600x600/221838177_2938447446368787_1660355677926811936_n.jpg?_nc_cat=105&ccb=1-5&_nc_sid=730e14&_nc_ohc=_99C1Uq7-HgAX-hETWS&_nc_ht=scontent.fbey5-2.fna&oh=8fbb7803749a8475f940eb3cbf78fbc2&oe=613D541C)
![](https://scontent.fbey5-2.fna.fbcdn.net/v/t39.30808-6/p526x296/222889810_2938447479702117_3186015151153646135_n.jpg?_nc_cat=104&ccb=1-5&_nc_sid=730e14&_nc_ohc=QKpuTCtOL_IAX_NElqv&tn=bAWZgZOe01dA57xt&_nc_ht=scontent.fbey5-2.fna&oh=711d76ae856dfe9867c07bb98030f215&oe=613D7E92)