Ultra-low contrast, complex left main coronary intervention case series using novel intravascular ultrasound technology.

ABSTRACT:

Background

Contrast-induced nephropathy (CIN) in patients with chronic kidney disease (CKD) carries a high morbidity and mortality. Ultra-low contrast percutaneous coronary intervention (ULPCI) has previously been described. Complex left main (LM) ULPCI using two-stent strategy guided by novel intravascular ultrasound (IVUS) co-registration software has not been described. We report a series of complex LM ULPCI using IVUS co-registration.

Case summaries

Five patients with estimated glomerular filtration rate ≤20 mL/min who presented with stable angina or non-ST segment elevation acute coronary syndrome underwent percutaneous coronary intervention (PCI). The patients previously had diagnostic angiography performed as a separate procedure. Successful LM ULPCI was performed in

SUBMITTER: Patel B 

PROVIDER: S-EPMC8637793 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature