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Successful transfemoral aortic Edwards ® SAPIEN ® bioprosthesis implantation without using iodinated contrast media in a woman with severe allergy to contrast agent
Author(s) -
Leroux Lionel,
Dijos Marina,
Santos Pierre Dos
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24767
Subject(s) - medicine , aorta , aortic valve , femoral artery , iodinated contrast , surgery , radiology , stenosis , cardiac surgery , cardiology , computed tomography
Severe anaphylactoid reaction after the use of iodinated contrast media are rare but can contraindicate the use of contrast agent. It was the case of a 53‐year‐old woman suffering from symptomatic severe aortic stenosis, recused for cardiac surgery because of deleterious effects of chest‐wall irradiation, with porcelain aorta. We decided to implant a 23‐mm Edwards ® SAPIEN ® transcatheter aortic valve via a femoral route without using any contrast media. The implantation was successful after surgical approach of the femoral artery, transesophageal echocardiography guiding, and localization of native leaflets and coronary trunk with catheters. Immediate and one month post‐interventional follow‐up was favorable and echocardiography showed a good functioning of the aortic bioprosthesis. Although conventional angiography is the best way to visualize the good positioning of the valve before deployment, our case suggests that, in special situations, transfemoral implantation of an Edwards ® SAPIEN ® aortic bioprosthesis is feasible without any contrast injection. © 2012 Wiley Periodicals, Inc.