Successful direct stenting guided by intravascular ultrasound without contrast in a patient with renal dysfunction.
We report a 60-year-old male with significant renal dysfunction who had a recent coronary angiography with mid coronary stenosis. To avoid worsening of his kidney failure, we performed primary stenting with a combination of intravascular ultrasound and a marker wire. No dye was used during the stenting procedure. Whereas this new technique needs to be validated in studies, it represents new hope for such patients.
Rezkalla
Shereif H
SH
Department of Cardiology, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA. rezkalla.shereif@marshfieldclinic.org
D000111:Acetylcysteine / Q000008:administration & dosage / Q000627:therapeutic use; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D016166:Free Radical Scavengers / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008875:Middle Aged; D015607:Stents; D018084:Ultrasonography, Interventional / Q000379:methods*
D016166:Free Radical Scavengers; D000111:Acetylcysteine