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First zero contrast PCI guided by intracoronary ultrasound in the Czech Republic.
- Source :
-
Vnitrni lekarstvi [Vnitr Lek] 2021 Winter; Vol. 67 (7), pp. 433-437. - Publication Year :
- 2021
-
Abstract
- Contrast induced nephropathy is associated with worse clinical outcome in patients undergoing coronary intervention. The most profound risk factor is advanced chronic renal insufficiency. Due to the increasing number of coronary interventions on severally ill patients, there is a need of modern therapeutic approach that could reduce the volume of contrast media to minimum or even zero. Herein, the authors present a case report of a 68-year-old patient with chronic kidney disease, who required elective coronary intervention (PCI) due to a significant lesion of the left anterior descending coronary artery. During this intervention, maximum emphasis was given on reduction of contrast media. To the best of our knowledge, this was the first similar intervention performed in the Czech Republic. Minimum contrast PCI guided by the intracoronary ultrasound, i.e. the IVUS-guided zero-contrast PCI may serve as a potential alternative to standard, angiography-guided PCI.
- Subjects :
- Aged
Contrast Media adverse effects
Coronary Angiography
Czech Republic
Female
Humans
Male
Treatment Outcome
Ultrasonography, Interventional
Coronary Artery Disease diagnostic imaging
Coronary Artery Disease surgery
Percutaneous Coronary Intervention adverse effects
Renal Insufficiency, Chronic complications
Subjects
Details
- Language :
- Czech
- ISSN :
- 0042-773X
- Volume :
- 67
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Vnitrni lekarstvi
- Publication Type :
- Academic Journal
- Accession number :
- 35459362