Büttner Stefan, Weiler Helge, Zöller Carolin, Koch Benjamin, Zierer Andreas, Zeiher Andreas M, Geiger Helmut, Vasa-Nicotera Mariuca, Hauser Ingeborg A, Fichtlscherer Stephan
Medical Clinic III, Department of Nephrology, University Hospital Frankfurt, Frankfurt, Germany.
Medical Clinic III, Department of Cardiology, University Hospital Frankfurt, Frankfurt, Germany.
Ann Thorac Surg. 2016 Nov;102(5):e437-e438. doi: 10.1016/j.athoracsur.2016.04.033.
Management of dialysis patients with valvular heart disease waitlisted for kidney transplantation is challenging. Development of severe aortic valve stenosis can lead to the exclusion from the transplant program or even death while on the waiting list. In dialysis patients, surgical aortic valve replacement is associated with a high perioperative risk with increased morbidity and mortality. In contrast, transcatheter aortic valve implantation emerges as a viable option for dialysis patients. Herein, we present the long-term follow-up of successful kidney transplantation after TAVI in a diabetic patient receiving long-term hemodialysis.
管理等待肾移植的患有心脏瓣膜病的透析患者具有挑战性。严重主动脉瓣狭窄的发展可能导致被排除在移植项目之外，甚至在等待名单上死亡。在透析患者中，外科主动脉瓣置换术围手术期风险高，发病率和死亡率增加。相比之下，经导管主动脉瓣植入术成为透析患者的一个可行选择。在此，我们报告了一名接受长期血液透析的糖尿病患者在经导管主动脉瓣植入术后成功进行肾移植的长期随访情况。
