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Percutaneous coronary intervention (PCI) in patients with advanced chronic kidney disease (CKD) is challenging due to frequent presence of complex calcified lesions and the very high risk of contrast‐induced nephropathy… Click to show full abstract
Percutaneous coronary intervention (PCI) in patients with advanced chronic kidney disease (CKD) is challenging due to frequent presence of complex calcified lesions and the very high risk of contrast‐induced nephropathy (CIN). We report a strategy of “zero contrast” PCI, guided by intravascular imaging and physiology, performed in three patients with advanced CKD in whom severe calcification necessitated rotational atherectomy (RA) to facilitate and optimize PCI. This approach resulted in safe and successful PCI while preserving renal function. © 2017 Wiley Periodicals, Inc.
Journal Title: Catheterization and Cardiovascular Interventions
Year Published: 2017
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