Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography

L Azzalini, S Mitomo, D Hachinohe, D Regazzoli, A Colombo

Research output: Contribution to journalArticlepeer-review

Abstract

Individuals with advanced chronic kidney disease (CKD) and coronary artery disease are often denied percutaneous coronary intervention (PCI) because of an aversion to the risk of contrast-induced nephropathy. We present the case of a 76-year-old man with stage 4 CKD requiring coronary revascularization. Zero-contrast PCI was successfully performed using dextran-based optical coherence tomography (OCT) guidance. Our report suggests the feasibility of dextran-based, OCT-guided, zero-contrast PCI in patients with advanced CKD. Further studies should evaluate the safety and efficacy of this novel approach. © 2017 Canadian Cardiovascular Society
Original languageEnglish
Pages (from-to)330-332
Number of pages3
JournalCanadian Journal of Cardiology
Volume34
Issue number3
DOIs
Publication statusPublished - 2018

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