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

Ashish Pershad; Ghassan Fraij; Sudhakar V Girotra; H Kenith Fang; George Gellert

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.

Authors

Ashish Pershad¹, Ghassan Fraij, Sudhakar V Girotra, H Kenith Fang, George Gellert

Affiliation

¹ Cavanagh Heart Center, 1300 N. Edwards Plaza Suite 407, Phoenix AZ 85006 USA. [email protected].

PMID: 25661767

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*