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Minimizing acute kidney injury during TAVR : The Importance of Seeing the Trees and the Forest
Author(s) -
Krishnaswamy Amar,
Tuzcu E. Murat
Publication year - 2015
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.25970
Subject(s) - medicine , valve replacement , acute kidney injury , contrast (vision) , sizing , catheter , cardiology , radiology , art , stenosis , artificial intelligence , computer science , visual arts
Key Points The importance of minimizing radio‐contrast load among patients with CKD undergoing TF‐TAVR is highlighted by Arrigo and coworkers. Use of non‐contrast annular sizing techniques such as cardiac MRI or 3D TEE should be encouraged for precise valve sizing. Limited‐contrast CT performed with contrast infusion via a pigtail catheter placed in the descending aorta provides excellent iliofemoral assessment for TF‐TAVR.