Zero-contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy.
Keyvan Karimi GalougahiGary S MintzDimitri KarmpaliotisZiad A AliPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2017)
Percutaneous coronary intervention (PCI) in patients with advanced chronic kidney disease (CKD) is challenging due to frequent presence of complex calcified lesions and the very high risk of contrast-induced nephropathy (CIN). We report a strategy of "zero contrast" PCI, guided by intravascular imaging and physiology, performed in three patients with advanced CKD in whom severe calcification necessitated rotational atherectomy (RA) to facilitate and optimize PCI. This approach resulted in safe and successful PCI while preserving renal function. © 2017 Wiley Periodicals, Inc.
Keyphrases
- percutaneous coronary intervention
- chronic kidney disease
- st segment elevation myocardial infarction
- antiplatelet therapy
- st elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- coronary artery disease
- end stage renal disease
- coronary artery bypass grafting
- magnetic resonance
- atrial fibrillation
- coronary artery bypass
- contrast enhanced
- rheumatoid arthritis
- magnetic resonance imaging
- high resolution
- drug induced
- coronary artery
- high glucose
- oxidative stress
- endothelial cells
- ankylosing spondylitis
- photodynamic therapy
- systemic sclerosis
- interstitial lung disease