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There was one intraprocedural death due to THV-induced vessel laceration, while in-hospital all-cause mortality ended up being 8.5% in today's high-risk patient cohort. Predilation of IFA is effective and safe in customers with advanced PAD. Careful preprocedural preparation is vital in improving procedural safety and efficacy. This tactic has the potential to broaden the spectrum of customers qualified to receive Tf-TAVI.Predilation of IFA is safe and effective in patients with advanced level PAD. Careful preproc