First zero contrast PCI guided by intracoronary ultrasound in the Czech Republic

Česká verzia

Authors: Marek Sůva ^1,2; Roman Štípal ^1,2; Martin Poloczek ^1,2; Jan Kaňovský ^1,2; Otakar Boček ¹; Petr Jeřábek ¹; Martin Hudec ^1,2; Vojtěch Brázdil ^1,2; Petr Kala ^1,2
Authors place of work: Fakultní nemocnice Brno ¹; Lékařská fakulta Masarykovy Univerzity, Brno ²
Published in the journal: Vnitř Lék 2021; 67(7): 433-437
Category: Case reports

Summary

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.

Keywords:

acute kidney injury – ultralow contrast PCI – contrast induced nephropathy – IVUS‑guided PCI – chronic kidney insufficiency

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