Kidney insufficiency as postinterventional complication of TAVI

被引:0
作者
Burgdorf C. [1 ]
Mahfoud F. [2 ,3 ]
Schlieper G. [4 ,5 ]
Schwenger V. [6 ]
Remppis B.A. [1 ]
机构
[1] Klinik für Kardiologie, Herz- und Gefäßzentrum Bad Bevensen, Römstedter Straße 25, Bad Bevensen
[2] Klinik für Innere Medizin III – Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
[3] Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA
[4] MVZ DaVita Rhein-Ruhr, Bismarckstr. 101, Düsseldorf
[5] Medizinische Klinik II, Klinik für Nieren- und Hochdruckkrankheiten, Rheumatologische und Immunologische Erkrankungen, Uniklinik RWTH Aachen, Aachen
[6] Klinik für Nieren- und Hochdruckkrankheiten, Transplantationszentrum, Klinikum Stuttgart, Stuttgart
来源
Der Nephrologe | 2018年 / 13卷 / 2期
关键词
Aortic valve stenosis; Contrast media; Forced diuresis; Renal insufficiency; Transcatheter aortic valve replacement;
D O I
10.1007/s11560-017-0221-3
中图分类号
学科分类号
摘要
With the introduction of transcatheter-based aortic valve implantation (TAVI) the interventional approach gained great importance in the treatment of aortic stenosis. After this technique began with indications for high risk patients only, intermediate risk patients are today also amenable for TAVI as long as the transfemoral approach is chosen. Numerous predictors have been identified that would lead to periprocedural complications and are defined by patient comorbidities as well as being inherent to the technical approach. Although vascular complications and postinterventional paravalvular regurgitation have been minimized over the past few years by novel technologies, there is a prevailing individual risk on the side of the patient brought about by the specific pathophysiology of the cardiorenal syndrome. The corresponding data situation is explained. © 2018, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
引用
收藏
页码:99 / 103
页数:4
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