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Ferrari E et al. – The trans–apical aortic valve implantation is an established technique for high–risk patients requiring aortic valve replacement. Traditionally, preoperative (computed tomography scan, coronary angiogram) and intra–operative imaging for stent–valve positioning and implantation require contrast medium injections. To preserve the renal function in elderly patients suffering from chronic renal insufficiency, a fully echo–guided trans–catheter valve implantation seems to be a reasonable alternative.

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