Successful Treatment of Unprotected Left Main Coronary Bifurcation Lesion Using Minimum Contrast Volume with Intravascular Ultrasound Guidance
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Contrast-induced nephropathy (CIN) is a serious complication in patients undergoing percutaneous coronary intervention (PCI), and is associated with higher morbidity and mortality. The limiting volume of contrast medium is safest and most reliable strategy for CIN prevention. Intravascular ultrasound (IVUS) serves as an attractive alternative imaging tool to angiography in many steps during PCI, thereby reducing the use of contrast agents. Here, we reported a case of successfully treated unprotected left main bifurcationlesion with heavily calcified and diffuse lesion under the IVUS-guided PCI using low volumes of contrast dye of total 12 cc in an elderly patient.
Abstract
Contrast-induced nephropathy (CIN) is a serious complication in patients undergoing percutaneous coronary intervention (PCI), and is associated with higher morbidity and mortality. The limiting volume of contrast medium is safest and most reliable strategy for CIN prevention. Intravascular ultrasound (IVUS) serves as an attractive alternative imaging tool to angiography in many steps during PCI, thereby reducing the use of contrast agents. Here, we reported a case of successfully treated unprotected left main bifurcationlesion with heavily calcified and diffuse lesion under the IVUS-guided PCI using low volumes of contrast dye of total 12 cc in an elderly patient.
참고문헌 (8)
- Mehran R, "Contrast-induced nephropathy: definition, epidemiology, and patients at risk", Kidney Int Suppl, (100), pp.S11~S15 (2006)
- Lin YS, "Predictors of contrast-induced nephropathy in chronic total occlusion percutaneous coronary intervention", EuroIntervention, 9, pp.1173~1180 (2014)
- Rihal CS, "Incidence and prognostic importance of acute renal failure after percutaneous coronary intervention", Circulation, 105, pp.2259~2264 (2002)
- Azzalini L, "Contrast-induced nephropathy: from pathophysiology to preventive strategies", Can J Cardiol, 32, pp.247~255 (2016)
- Nayak KR, "A novel technique for ultra-low contrast administration during angiography or intervention", Catheter Cardiovasc Interv, 75, pp.1076~1083 (2010)
- Ali ZA, "Imaging- and physiology-guided percutaneous coronary intervention without contrast administration in advanced renal failure: a feasibility, safety, and outcome study", Eur Heart J, 37, pp.3090~3095 (2016)
- Mariani J Jr, "Intravascular ultrasound guidance to minimize the use of iodine contrast in percutaneous coronary intervention: the MOZART (minimizing contrast utilization with IVUS guidance in coronary angioplasty) randomized controlled trial", JACC Cardiovasc Interv, 7, pp.1287~1293 (2014)
- Okumura N, "Effects of carperitide on contrast-induced acute kidney injury with a minimum volume of contrast in chronic kidney disease patients", Nephron Extra, 2, pp.303~310 (2012)