An 82-year-old woman with congestive heart failure (CHF) and chronic kidney disease (CKD) stage G5 due to diabetic kidney disease was admitted to our hospital with refractory CHF. She was subsequently diagnosed with severe aortic stenosis, which did not recover with pharmacologic treatment, and transcatheter aortic valve implantation (TAVI)was performed on the 25th day of admission. Due to decreased urine volume and worsening kidney function in the perioperative period, continuous hemodiafiltration was required from the 27th day. Although she could not be withdrawn from hemo-dialysis (HD), her hemodynamics stabilized following TAVI, which was performed before the initiation of HD. At that time she had not experienced intra-dialytic hypotension, and an arteriovenous fistula (AVF) was safely created without concern for cardiac overload. TAVI will contribute to both stable HD induction and safe AVF creation in patients with CKD G5 due to its minimal invasiveness and rapid stabilization of hemodynamics.