Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography

Lorenzo Azzalini, Satoru Mitomo, Daisuke Hachinohe, Damiano Regazzoli, Antonio Colombo

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

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 languageEnglish
Pages (from-to)342.e1-342.e3
JournalCanadian Journal of Cardiology
Volume34
Issue number3
DOIs
StatePublished - Mar 2018
Externally publishedYes

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