A fully echo-guided trans-apical aortic valve implantation

被引:12
作者
Ferrari, Enrico [1 ]
Sulzer, Christopher [2 ]
Rizzo, Elena [3 ]
von Segesser, Ludwig Karl [1 ]
机构
[1] CHU Vaudois, Dept Cardiovasc Surg, Univ Lausanne Hosp, CH-1011 Lausanne, Switzerland
[2] CHUV, Univ Lausanne Hosp, Dept Cardiac Anaesthesia, CH-1011 Lausanne, Switzerland
[3] CHUV, Univ Lausanne Hosp, Dept Radiol, CH-1011 Lausanne, Switzerland
关键词
Echo-guided; Trans-apical aortic valve replacement; Aortic valve stenosis; Renal insufficiency; STENOSIS;
D O I
10.1016/j.ejcts.2009.06.030
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The trans-apical aortic valve implantation (TA-AVI) is an established technique for high-risk patients requiring aortic valve replacement. Traditionally, preoperative (computed tomography (CT) scan, coronary angiogram) and intra-operative imaging (fluoroscopy) for stent-valve positioning and implantation require contrast medium injections. To preserve the renal function in elderly patients suffering from chronic renal insufficiency, a fully echo-guided trans-catheter valve implantation seems to be a reasonable alternative. We report the first successful TA-AVI procedure performed solely under trans-oesophageal echocardiogram control, in the absence of contrast medium injections. (C) 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:938 / 940
页数:3
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