Zero‐contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy. Issue 4 (17th March 2017)

• Record Type: Journal Article
• Authors: Karimi Galougahi, Keyvan; Mintz, Gary S.; Karmpaliotis, Dimitri; Ali, Ziad A.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 90:Issue 4(2017)
• Page Start: E85
• Page End: E89
• Publication Date: 2017-03-17
• Subjects: percutaneous coronary intervention -- atherectomy -- contrast‐induced nephropathy -- intravascular ultrasound -- coronary physiology; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.26999
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract : 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.