How intravascular lithotripsy can improve TMVR outcomes

(A) Fluoroscopy reveals constrained Intrepid valve frame. (B) Balloon postdilation with a 28-mm Z-MED balloon. (C) Expansion of the Z-MED balloon in anteroposterior and commissural dimensions. (D) Final mitral valve gradient of 3 mm Hg. Images/captions courtesy of JSCAI.

The IVL technology developed by Shockwave Medical helped clinicians treat a TMVR patient who had previously undergone TAVR. Could this be a common use of IVL in the future?