A 79-year-old man with severe aortic valve narrowing and chronic kidney disease underwent a rare, completely contrast-free, ultrasound-guided Transcatheter Aortic Valve Replacement (TAVR). This innovative approach, utilizing Aortic Valve Ultrasound (AVUS), ensured precise valve sizing and safe implantation, avoiding further kidney damage and the need for dialysis. The patient recovered quickly and was discharged within 24 hours.
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