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

Keyvan Karimi Galougahi; Gary S. Mintz; Dimitri Karmpaliotis; Ziad A. Ali

doi:10.1002/ccd.26999

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

Keyvan Karimi Galougahi, Gary S. Mintz, Dimitri Karmpaliotis, Ziad A. Ali

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	E85-E89
Journal	Catheterization and Cardiovascular Interventions
Volume	90
Issue number	4
DOIs	https://doi.org/10.1002/ccd.26999
State	Published - 1 Oct 2017
Externally published	Yes

Keywords

atherectomy
contrast-induced nephropathy
coronary physiology
intravascular ultrasound
percutaneous coronary intervention

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10.1002/ccd.26999

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title = "Zero-contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy",

abstract = "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.",

keywords = "atherectomy, contrast-induced nephropathy, coronary physiology, intravascular ultrasound, percutaneous coronary intervention",

author = "\{Karimi Galougahi\}, Keyvan and Mintz, \{Gary S.\} and Dimitri Karmpaliotis and Ali, \{Ziad A.\}",

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T1 - Zero-contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy

AU - Karimi Galougahi, Keyvan

AU - Mintz, Gary S.

AU - Karmpaliotis, Dimitri

AU - Ali, Ziad A.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - 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.

AB - 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.

KW - atherectomy

KW - contrast-induced nephropathy

KW - coronary physiology

KW - intravascular ultrasound

KW - percutaneous coronary intervention

UR - https://www.scopus.com/pages/publications/85015441938

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JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

IS - 4

ER -

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

Abstract

Keywords

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