Limited-contrast, intravascular ultrasound guided percutaneous coronary intervention in acute coronary syndrome

Vasu, Nandhakumar; Subban, Vijayakumar; Chopra, Aashish; Ajit, Mullasari S.

doi:10.1016/j.ihjccr.2017.11.002

Cited by 1 publication

(1 citation statement)

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“…Chronic kidney disease (CKD) individuals are particularly prone to develop contrast-induced acute kidney injury (CI-AKI) and frequently need renal replacement therapy after percutaneous coronary intervention (PCI). Safety and feasibility of intravascular ultrasound (IVUS)–guided zero contrast PCI has been studied in a small number of patients 1, 2. Optical coherence tomography (OCT) guidance for PCI requires iodinated contrast as the flush medium to clear the blood in order to obtain optimal images.…”

Section: Introductionmentioning

confidence: 99%

Zero contrast optical coherence tomography–guided percutaneous coronary intervention for in-stent restenosis of the saphenous vein graft using a non-contrast flush medium

Vasu

Subban

Mullasari

2018

Indian Heart Journal

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Percutaneous coronary intervention (PCI) is often denied for individuals with coronary artery disease who are prone to develop contrast-induced acute kidney injury. We report a 73-year-old, stage 3 chronic kidney disease patient (CKD), who underwent coronary artery bypass surgery and saphenous vein graft (SVG) stenting in the past, presented with in-stent restenosis (ISR) of SVG stent. Zero contrast optical coherence tomography (OCT) guided–PCI was successfully performed using low molecular weight dextran-40 (LMWD-40) as the flush medium. Our report suggests the safety and feasibility of LMWD-40–based OCT-guided zero contrast PCI in ISR of SVG in a CKD patient, although further prospective studies are needed to evaluate this technique.

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Section: Introductionmentioning

confidence: 99%