title: Zero-contrast percutaneous coronary intervention on calcified lesions facilitated by rotational atherectomy.
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.
authors.affiliation: Division of Cardiology, Center for Interventional Vascular Therapy, Presbyterian Hospital and Columbia University, New York, NY.
authors.forename: Keyvan
authors.identifier: http://orcid.org/0000-0001-8352-8369
authors.initials: K
authors.lastname: Karimi Galougahi
authors.affiliation: Cardiovascular Research Foundation, New York, NY.
authors.forename: Gary S
authors.initials: GS
authors.lastname: Mintz
authors.affiliation: Division of Cardiology, Center for Interventional Vascular Therapy, Presbyterian Hospital and Columbia University, New York, NY.|Cardiovascular Research Foundation, New York, NY.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Karmpaliotis
authors.affiliation: Division of Cardiology, Center for Interventional Vascular Therapy, Presbyterian Hospital and Columbia University, New York, NY.|Cardiovascular Research Foundation, New York, NY.
authors.forename: Ziad A
authors.initials: ZA
authors.lastname: Ali
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017225:Atherectomy, Coronary / Q000009:adverse effects; D003287:Contrast Media / Q000008:administration & dosage* / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D011237:Predictive Value of Tests; D051436:Renal Insufficiency, Chronic / Q000150:complications* / Q000175:diagnosis; D012307:Risk Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D061205:Vascular Calcification / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D003287:Contrast Media
keywords: atherectomy; contrast-induced nephropathy; coronary physiology; intravascular ultrasound; percutaneous coronary intervention