Abstract
Individuals with advanced chronic kidney disease (CKD) and coronary artery disease are often denied percutaneous coronary intervention (PCI) because of an aversion to the risk of contrast-induced nephropathy. We present the case of a 76-year-old man with stage 4 CKD requiring coronary revascularization. Zero-contrast PCI was successfully performed using dextran-based optical coherence tomography (OCT) guidance. Our report suggests the feasibility of dextran-based, OCT-guided, zero-contrast PCI in patients with advanced CKD. Further studies should evaluate the safety and efficacy of this novel approach.
Original language | English |
---|---|
Pages (from-to) | 342.e1-342.e3 |
Journal | Canadian Journal of Cardiology |
Volume | 34 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2018 |
Externally published | Yes |