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Zero‐contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy
Author(s) -
Karimi Galougahi Keyvan,
Mintz Gary S.,
Karmpaliotis Dimitri,
Ali Ziad A.
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26999
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , atherectomy , contrast induced nephropathy , calcification , cardiology , kidney disease , radiology , contrast (vision) , nephropathy , stent , restenosis , diabetes mellitus , myocardial infarction , endocrinology , artificial intelligence , computer science
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.