A case of CTO treated with minimum use of contrast media.
The retrograde approach is a novel technique for improving the success rate of guidewire passage through chronic total occlusion (CTO). In addition, this technique, especially when intravascular ultrasound-guided reverse controlled antegrade and retrograde subintimal tracking is employed, may help the operator to save on the contrast media used. In the case reported here, only 10 ml of contrast media was used in percutaneous coronary intervention for CTO.
Division of Cardiology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Tokyo, Japan; Division of Cardiology, Department of Internal Medicine, The Jikei University Kashiwa Hospital, Tokyo, Japan.
Yoshiki
Y
Uehara
Mitsuyuki
M
Shimizu
Michihiro
M
Yoshimura
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000503:physiopathology / Q000517:prevention & control*; D002908:Chronic Disease; D003287:Contrast Media / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D006801:Humans; D007668:Kidney / Q000187:drug effects / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
D003287:Contrast Media
chronic kidney disease; percutaneous coronary intervention; retrograde approach