The principles of ultra-low contrast percutaneous coronary intervention
Loading...
Date
2022-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Cardiological Society of India
Abstract
Ultra-low contrast percutaneous coronary intervention (ULCPCI) can be performed electively in advanced chronic kidney disease. Engage guide catheter and advance guidewire into the coronary artery without using contrast. IVUS-guided PCI can reduce the contrast load. Perform co-registration of distal and proximal radio-opaque marker bands of intravascular ultrasound (IVUS) catheter. Deploy the stent at the target lesion under fluoroscopic guidance of these co-registered position of the IVUS-marking images. Complete the ULCPCI procedure with a final angiography using minimal contrast. Newer contrast sparing techniques and intravascular imaging technologies provide opportunities to perform ULCPCI efficiently with good results and the least complications
Description
Keywords
Ultra-low contrast PCI, Zero contrast PCI, Contrast-induced acute kidney injury, IVUS-Guided PCI, PCI in Chronic kidney disease
Citation
Ezhumalai Babu. The principles of ultra-low contrast percutaneous coronary intervention. Indian Heart Journal. 2022 Jun; 74(3): 258-259