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

被引：23

作者：

Galougahi, Keyvan Karimi ^{[1
,2
]}

Mintz, Gary S. ^{[3
]}

Karmpaliotis, Dimitri ^{[1
,2
,3
]}

Ali, Ziad A. ^{[1
,2
,3
]}

机构：

[1] Presbyterian Hosp, Ctr Intervent Vasc Therapy, Div Cardiol, New York, NY USA

[2] Columbia Univ, New York, NY 10027 USA

[3] Cardiovasc Res Fdn, New York, NY USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2017年 / 90卷 / 04期

关键词：

percutaneous coronary intervention; atherectomy; contrast-induced nephropathy; intravascular ultrasound; coronary physiology; CHRONIC KIDNEY-DISEASE;

D O I：

10.1002/ccd.26999

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (c) 2017 Wiley Periodicals, Inc.

引用

页码：E85 / E89

页数：5

共 6 条

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