title: Transcatheter aortic valve implantation in end-stage renal disease.
abstract: Valvular heart disease is common in patients with end-stage renal disease and, if symptomatic, may lead to valve replacement surgery. However, some patients with renal failure are deemed unsuitable for cardiac surgery, and in those patients who do undergo surgery, there is a significantly greater morbidity and mortality. Transcatheter aortic valve implantation (TAVI) is recognized as an option for high-risk patients with symptomatic aortic stenosis (AS). Here we describe two patients on haemodialysis who underwent TAVI with satisfactory outcomes. The role of TAVI is evolving and has the potential to play an important role for dialysis patients with AS.
authors.affiliation: Department of Medicine, North Shore Hospital, Auckland, New Zealand.
authors.forename: Patrick
authors.initials: P
authors.lastname: Hamilton
authors.affiliation: Greenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand ; Department of Medicine, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand.
authors.forename: Arthur
authors.initials: A
authors.lastname: Coverdale
authors.affiliation: Department of Medicine, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand ; Department of Cardiology, North Shore Hospital, Auckland, New Zealand.
authors.forename: Colin
authors.initials: C
authors.lastname: Edwards
authors.affiliation: Greenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand ; Department of Cardiology, North Shore Hospital, Auckland, New Zealand ; Mercy Angiography, Mercy Hospital, Auckland, New Zealand.
authors.forename: John
authors.initials: J
authors.lastname: Ormiston
authors.affiliation: Greenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand ; Department of Medicine, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand.
authors.forename: Jim
authors.initials: J
authors.lastname: Stewart
authors.affiliation: Greenlane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Mark
authors.initials: M
authors.lastname: Webster
authors.affiliation: Department of Medicine, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand ; Department of Renal Medicine, North Shore Hospital, Auckland, New Zealand.
authors.forename: Janak
authors.initials: J
authors.lastname: de Zoysa
keywords: aortic stenosis; end-stage renal disease; haemodialysis; transcatheter aortic valve implantation