Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography
Individuals with advanced chronic kidney disease (CKD) and coronary artery disease are often denied percutaneous coronary intervention (PCI) because of an aversion to the risk of contrast-induced nephropathy. We present the case of a 76-year-old man with stage 4 CKD requiring coronary revascularizat...
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| Veröffentlicht in: | Canadian journal of cardiology 2018-03, Vol.34 (3), p.342.e1-342.e3 |
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| container_end_page | 342.e3 |
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| container_issue | 3 |
| container_start_page | 342.e1 |
| container_title | Canadian journal of cardiology |
| container_volume | 34 |
| creator | Azzalini, Lorenzo Mitomo, Satoru Hachinohe, Daisuke Regazzoli, Damiano Colombo, Antonio |
| description | Individuals with advanced chronic kidney disease (CKD) and coronary artery disease are often denied percutaneous coronary intervention (PCI) because of an aversion to the risk of contrast-induced nephropathy. We present the case of a 76-year-old man with stage 4 CKD requiring coronary revascularization. Zero-contrast PCI was successfully performed using dextran-based optical coherence tomography (OCT) guidance. Our report suggests the feasibility of dextran-based, OCT-guided, zero-contrast PCI in patients with advanced CKD. Further studies should evaluate the safety and efficacy of this novel approach.
Les individus atteints de néphropathie chronique (NPC) de stade avancé et de coronaropathie se voient souvent refuser l’intervention coronarienne percutanée (ICP) en raison d’une aversion pour le risque de néphropathie induite par les produits de contraste. Nous présentons le cas d’un homme de 76 ans atteints d’une NPC de stade 4 pour laquelle une revascularisation coronarienne est nécessaire. L’ICP sans injection de produit de contraste a été réussie grâce au guidage par tomographie par cohérence optique (TCO) au dextrane. Notre rapport illustre la faisabilité de l’ICP sans injection de produit de contraste guidée par TCO au dextrane chez les patients atteints d’une NPC de stade avancé. Des études portant sur l’évaluation de l’innocuité et de l’efficacité de cette nouvelle approche devraient être réalisées. |
| doi_str_mv | 10.1016/j.cjca.2017.11.008 |
| format | Article |
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Les individus atteints de néphropathie chronique (NPC) de stade avancé et de coronaropathie se voient souvent refuser l’intervention coronarienne percutanée (ICP) en raison d’une aversion pour le risque de néphropathie induite par les produits de contraste. Nous présentons le cas d’un homme de 76 ans atteints d’une NPC de stade 4 pour laquelle une revascularisation coronarienne est nécessaire. L’ICP sans injection de produit de contraste a été réussie grâce au guidage par tomographie par cohérence optique (TCO) au dextrane. Notre rapport illustre la faisabilité de l’ICP sans injection de produit de contraste guidée par TCO au dextrane chez les patients atteints d’une NPC de stade avancé. Des études portant sur l’évaluation de l’innocuité et de l’efficacité de cette nouvelle approche devraient être réalisées.</description><identifier>ISSN: 0828-282X</identifier><identifier>EISSN: 1916-7075</identifier><identifier>DOI: 10.1016/j.cjca.2017.11.008</identifier><identifier>PMID: 29475535</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Aged ; Coronary Angiography - methods ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - surgery ; Coronary Artery Disease - therapy ; Dextrans ; Humans ; Male ; Patient Safety ; Percutaneous Coronary Intervention - methods ; Prognosis ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - diagnostic imaging ; Renal Insufficiency, Chronic - therapy ; Severity of Illness Index ; Surgery, Computer-Assisted ; Tomography, Optical Coherence - methods ; Treatment Outcome</subject><ispartof>Canadian journal of cardiology, 2018-03, Vol.34 (3), p.342.e1-342.e3</ispartof><rights>2017 Canadian Cardiovascular Society</rights><rights>Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-cb3ccf3bbb0389c6fac4c07f5361db83c38f0014cf7ea1c5b1c2a8b32c31a59a3</citedby><cites>FETCH-LOGICAL-c422t-cb3ccf3bbb0389c6fac4c07f5361db83c38f0014cf7ea1c5b1c2a8b32c31a59a3</cites><orcidid>0000-0001-9758-0360</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0828282X17311704$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29475535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azzalini, Lorenzo</creatorcontrib><creatorcontrib>Mitomo, Satoru</creatorcontrib><creatorcontrib>Hachinohe, Daisuke</creatorcontrib><creatorcontrib>Regazzoli, Damiano</creatorcontrib><creatorcontrib>Colombo, Antonio</creatorcontrib><title>Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography</title><title>Canadian journal of cardiology</title><addtitle>Can J Cardiol</addtitle><description>Individuals with advanced chronic kidney disease (CKD) and coronary artery disease are often denied percutaneous coronary intervention (PCI) because of an aversion to the risk of contrast-induced nephropathy. We present the case of a 76-year-old man with stage 4 CKD requiring coronary revascularization. Zero-contrast PCI was successfully performed using dextran-based optical coherence tomography (OCT) guidance. Our report suggests the feasibility of dextran-based, OCT-guided, zero-contrast PCI in patients with advanced CKD. Further studies should evaluate the safety and efficacy of this novel approach.
Les individus atteints de néphropathie chronique (NPC) de stade avancé et de coronaropathie se voient souvent refuser l’intervention coronarienne percutanée (ICP) en raison d’une aversion pour le risque de néphropathie induite par les produits de contraste. Nous présentons le cas d’un homme de 76 ans atteints d’une NPC de stade 4 pour laquelle une revascularisation coronarienne est nécessaire. L’ICP sans injection de produit de contraste a été réussie grâce au guidage par tomographie par cohérence optique (TCO) au dextrane. Notre rapport illustre la faisabilité de l’ICP sans injection de produit de contraste guidée par TCO au dextrane chez les patients atteints d’une NPC de stade avancé. Des études portant sur l’évaluation de l’innocuité et de l’efficacité de cette nouvelle approche devraient être réalisées.</description><subject>Aged</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary Artery Disease - therapy</subject><subject>Dextrans</subject><subject>Humans</subject><subject>Male</subject><subject>Patient Safety</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>Prognosis</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - diagnostic imaging</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Severity of Illness Index</subject><subject>Surgery, Computer-Assisted</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Treatment Outcome</subject><issn>0828-282X</issn><issn>1916-7075</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAURUVpaSZp_0AWxctu7OpJtmVDN83ko4FAukihdCOk5-dEw4w1keSh8--jYdIuu3rwuOfCPYydA6-AQ_tlVeEKTSU4qAqg4rx7wxbQQ1sqrpq3bME70ZWiE79O2GmMK85rUKp9z05EX6umkc2C0W8Kvlz6KQUTU_GDAs7JTOTnWCx98JMJ--J2ShR2NCXnp-JmdgMNhd0Xl_QnU1N5YWJ-3G-TQ7PO1BMFmpCKB7_xj8Fsn_Yf2LvRrCN9fL1n7Of11cPye3l3f3O7_HZXYi1EKtFKxFFaa7nsemxHgzVyNTayhcF2EmU3cg41jooMYGMBhemsFCjBNL2RZ-zzsXcb_PNMMemNi0jr9XGRFpyrXvVN2-eoOEYx-BgDjXob3Cav1cD1Qa9e6YNefdCrAXTWm6FPr_2z3dDwD_nrMwe-HgOUV-4cBR3RHWQMLhAmPXj3v_4XOO6N2g</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Azzalini, Lorenzo</creator><creator>Mitomo, Satoru</creator><creator>Hachinohe, Daisuke</creator><creator>Regazzoli, Damiano</creator><creator>Colombo, Antonio</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9758-0360</orcidid></search><sort><creationdate>201803</creationdate><title>Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography</title><author>Azzalini, Lorenzo ; Mitomo, Satoru ; Hachinohe, Daisuke ; Regazzoli, Damiano ; Colombo, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-cb3ccf3bbb0389c6fac4c07f5361db83c38f0014cf7ea1c5b1c2a8b32c31a59a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - surgery</topic><topic>Coronary Artery Disease - therapy</topic><topic>Dextrans</topic><topic>Humans</topic><topic>Male</topic><topic>Patient Safety</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Prognosis</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - diagnostic imaging</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Severity of Illness Index</topic><topic>Surgery, Computer-Assisted</topic><topic>Tomography, Optical Coherence - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azzalini, Lorenzo</creatorcontrib><creatorcontrib>Mitomo, Satoru</creatorcontrib><creatorcontrib>Hachinohe, Daisuke</creatorcontrib><creatorcontrib>Regazzoli, Damiano</creatorcontrib><creatorcontrib>Colombo, Antonio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azzalini, Lorenzo</au><au>Mitomo, Satoru</au><au>Hachinohe, Daisuke</au><au>Regazzoli, Damiano</au><au>Colombo, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography</atitle><jtitle>Canadian journal of cardiology</jtitle><addtitle>Can J Cardiol</addtitle><date>2018-03</date><risdate>2018</risdate><volume>34</volume><issue>3</issue><spage>342.e1</spage><epage>342.e3</epage><pages>342.e1-342.e3</pages><issn>0828-282X</issn><eissn>1916-7075</eissn><abstract>Individuals with advanced chronic kidney disease (CKD) and coronary artery disease are often denied percutaneous coronary intervention (PCI) because of an aversion to the risk of contrast-induced nephropathy. We present the case of a 76-year-old man with stage 4 CKD requiring coronary revascularization. Zero-contrast PCI was successfully performed using dextran-based optical coherence tomography (OCT) guidance. Our report suggests the feasibility of dextran-based, OCT-guided, zero-contrast PCI in patients with advanced CKD. Further studies should evaluate the safety and efficacy of this novel approach.
Les individus atteints de néphropathie chronique (NPC) de stade avancé et de coronaropathie se voient souvent refuser l’intervention coronarienne percutanée (ICP) en raison d’une aversion pour le risque de néphropathie induite par les produits de contraste. Nous présentons le cas d’un homme de 76 ans atteints d’une NPC de stade 4 pour laquelle une revascularisation coronarienne est nécessaire. L’ICP sans injection de produit de contraste a été réussie grâce au guidage par tomographie par cohérence optique (TCO) au dextrane. Notre rapport illustre la faisabilité de l’ICP sans injection de produit de contraste guidée par TCO au dextrane chez les patients atteints d’une NPC de stade avancé. Des études portant sur l’évaluation de l’innocuité et de l’efficacité de cette nouvelle approche devraient être réalisées.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>29475535</pmid><doi>10.1016/j.cjca.2017.11.008</doi><orcidid>https://orcid.org/0000-0001-9758-0360</orcidid></addata></record> |
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| ispartof | Canadian journal of cardiology, 2018-03, Vol.34 (3), p.342.e1-342.e3 |
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| subjects | Aged Coronary Angiography - methods Coronary Artery Disease - complications Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - surgery Coronary Artery Disease - therapy Dextrans Humans Male Patient Safety Percutaneous Coronary Intervention - methods Prognosis Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - diagnostic imaging Renal Insufficiency, Chronic - therapy Severity of Illness Index Surgery, Computer-Assisted Tomography, Optical Coherence - methods Treatment Outcome |
| title | Zero-Contrast Percutaneous Coronary Intervention Guided by Dextran-Based Optical Coherence Tomography |
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