ABSTRACT We describe a transcatheter aortic valve implantation in a patient with multiple comorbidities, including important bilateral iliac stenosis and severe aortic stenosis, with high surgical risk, in whom femoral access was contraindicated due to subocclusive stenosis of the common iliac artery and intense calcification. A new endovascular treatment modality was employed by intravascular lithotripsy with a balloon cathether Shockwave®, which enabled treating the common iliac artery together with the valve implantation, allowing to advance a deployment system of a […]