Successful Treatment of Unprotected Left Main Coronary Bifurcation Lesion Using Minimum Contrast Volume with Intravascular Ultrasound Guidance.
10.3349/ymj.2017.58.5.1066
- Author:
Oh Hyun LEE
1
;
Chul Min AHN
;
Jung Sun KIM
;
Byeong Keuk KIM
;
Young Guk KO
;
Donghoon CHOI
;
Yangsoo JANG
;
Myeong Ki HONG
Author Information
1. Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea. mkhong61@yuhs.ac
- Publication Type:Case Report
- Keywords:
Contrast-induced nephropathy;
intravascular ultrasound;
contrast media
- MeSH:
Aged;
Angiography;
Contrast Media;
Humans;
Mortality;
Percutaneous Coronary Intervention;
Ultrasonography*
- From:Yonsei Medical Journal
2017;58(5):1066-1070
- CountryRepublic of Korea
- Language:English
-
Abstract:
Contrast-induced nephropathy (CIN) is a serious complication in patients undergoing percutaneous coronary intervention (PCI), and is associated with higher morbidity and mortality. The limiting volume of contrast medium is safest and most reliable strategy for CIN prevention. Intravascular ultrasound (IVUS) serves as an attractive alternative imaging tool to angiography in many steps during PCI, thereby reducing the use of contrast agents. Here, we reported a case of successfully treated unprotected left main bifurcation lesion with heavily calcified and diffuse lesion under the IVUS-guided PCI using low volumes of contrast dye of total 12 cc in an elderly patient.
