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Zero-contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy

Keyvan Karimi Galougahi1, Gary S Mintz2, Dimitri Karmpaliotis1,2

  • 1Division of Cardiology, Center for Interventional Vascular Therapy, Presbyterian Hospital and Columbia University, New York, NY.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|March 18, 2017
PubMed

Insights

Zero contrast percutaneous coronary intervention (PCI) is a safe strategy for patients with advanced chronic kidney disease (CKD). This approach, using intravascular imaging and physiology, successfully treated complex calcified lesions without impacting renal function.

Area of Science:

  • Cardiology
  • Nephrology
  • Interventional Radiology

Background:

  • Percutaneous coronary intervention (PCI) in advanced chronic kidney disease (CKD) patients presents challenges.
  • Complex calcified lesions and high risk of contrast-induced nephropathy (CIN) complicate PCI procedures.
  • Existing strategies carry significant risks for renal function preservation.

Keywords:
atherectomycontrast-induced nephropathycoronary physiologyintravascular ultrasoundpercutaneous coronary intervention

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