Entirely zero-contrast diagnosis and revascularization for bilateral stenotic iliac disease with advanced chronic kidney disease: a case report.

ABSTRACT:

Background

Peripheral artery disease (PAD) is usually diagnosed with non-invasive arterial testing methods such as Doppler ultrasound or computed tomography angiography and treated with revascularization using contrast media, which increases the risk of contrast nephropathy and the need for subsequent renal replacement therapy, especially in patients with advanced chronic kidney disease (CKD). Therefore, it is important to identify a worthy alternative strategy for use in high-risk patients.

Case summary

We present the case of a 79-year-old man with bilateral claudication and advanced CKD. The patient had a high risk of sustained reduction in renal function and requirement of renal replacement therapy in the event that contrast media was used. Therefore, we planned a zero-co

SUBMITTER: Wakabayashi K 

PROVIDER: S-EPMC10394305 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature