The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Preprocedural planning and implantation of a transcatheter aortic valve without the use of contrast agent

EuroIntervention 2016;11:1433 published online ahead of print July 2015. DOI: 10.4244/EIJY15M07_06

1. Department of Cardiology and Angiology I, Heart Center Freiburg University, Freiburg, Germany; 2. Department of Radiology, Cardiovascular Radiology Section, University of Freiburg, Freiburg, Germany; 3. San Raffaele Hospital and EMO-GVM Centro Cuore Co


This case report demonstrates the potential for contrast agent-free preprocedural planning (Figure 1A-C) and transcatheter aortic valve implantation (TAVI; Figure 1D-H) of a Direct Flow Medical® (DFM) transcatheter aortic valve (Direct Flow Medical, Santa Rosa, CA, USA), a device without a metallic frame, in an 84-year-old patient with renal failure and a severe aortic valve stenosis. Avoiding any application of contrast agent, and therefore its related complications, might extend even further the indication for TAVI implantation in such high-risk patients. This approach might currently be limited to certain anatomies and special clinical situations until larger studies confirm the strategy.##...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article

How to overcome a scary complication: a mesh-trapped balloon during a CoreValve® implantation procedure