TEE-guided transcatheter aortic valve implantation with "zero contrast" - a viable alternative for patients with chronic kidney disease

J Invasive Cardiol. 2015 Feb;27(2):E25-6.

Abstract

Acute kidney injury (AKI) stage II-III has been associated with a higher short-term and long-term mortality after transcatheter aortic valve replacement (TAVR). We present a patient with AKI where fluoroscopic landmarks and TEE imaging were used exclusively, sparing the patient a contrast load, and describe patient-tailored modifications.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Coronary Angiography
  • Echocardiography, Transesophageal / methods*
  • Glomerular Filtration Rate
  • Humans
  • Male
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / physiopathology
  • Surgery, Computer-Assisted / methods*
  • Transcatheter Aortic Valve Replacement / methods*