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A fully echo-guided trans-apical aortic valve implantation

Ferrari, Enrico ; Sulzer, Christopher ; Rizzo, Elena ; von Segesser, Ludwig Karl

In: European Journal of Cardio-Thoracic Surgery, 2009, vol. 36, no. 5, p. 938-940

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    Titre
    • A fully echo-guided trans-apical aortic valve implantation
    Auteur
    • Ferrari, Enrico. Department of Cardio-Vascular Surgery, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland
    • Sulzer, Christopher. Department of Cardiac Anaesthesia, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland
    • Rizzo, Elena. Department of Radiology, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland
    • von Segesser, Ludwig Karl. Department of Cardio-Vascular Surgery, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • European Journal of Cardio-Thoracic Surgery, 2009, vol. 36, no. 5, p. 938-940. Elsevier Science B.V.
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:300714
    Summary
    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