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Case Reports
Published online: 2019-07-02
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Novel technique of successful percutaneous coronary intervention with ultra low volume contrast administration using Side Branch wire as a marker

Santosh Kumar Sinha, Mahmodula Razi, Lokendra Rekwal, Kumar Himanshu, Puneet Aggarwal, Vinay Krishna
DOI: 10.5603/FC.a2019.0073

open access

Ahead of print
Case Reports
Published online: 2019-07-02

Abstract

Contrast-induced nephropathy (CIN) is a serious complication in patients with chronic kidney disease with coronary artery disease who undergo percutaneous coronary intervention (PCI), and is associated with higher morbidity and mortality in short and long term. The limiting volume of contrast agent is safest and most reliable strategy to prevent CIN. Here, we report a case of suc¬cessful PCI using only 13 ml of contrast (iodixanol) of mid left anterior descending artery where wire in diagonal branch served as a landmark in a 75-year-old diabetic and hypertensive male who had presented with acute coronary syndrome and had marked renal dysfunction having serum creatinine of 2.9 mg%. There was no change in basal renal function after the procedural and safely discharged.

Abstract

Contrast-induced nephropathy (CIN) is a serious complication in patients with chronic kidney disease with coronary artery disease who undergo percutaneous coronary intervention (PCI), and is associated with higher morbidity and mortality in short and long term. The limiting volume of contrast agent is safest and most reliable strategy to prevent CIN. Here, we report a case of suc¬cessful PCI using only 13 ml of contrast (iodixanol) of mid left anterior descending artery where wire in diagonal branch served as a landmark in a 75-year-old diabetic and hypertensive male who had presented with acute coronary syndrome and had marked renal dysfunction having serum creatinine of 2.9 mg%. There was no change in basal renal function after the procedural and safely discharged.

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Keywords

Contrast-induced nephropathy; Percutaneous coronary intervention; Acute coronary syndrome; Contrast agent; Left anterior descending artery.

About this article
Title

Novel technique of successful percutaneous coronary intervention with ultra low volume contrast administration using Side Branch wire as a marker

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2019-07-02

DOI

10.5603/FC.a2019.0073

Keywords

Contrast-induced nephropathy
Percutaneous coronary intervention
Acute coronary syndrome
Contrast agent
Left anterior descending artery.

Authors

Santosh Kumar Sinha
Mahmodula Razi
Lokendra Rekwal
Kumar Himanshu
Puneet Aggarwal
Vinay Krishna

References (8)
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