Zero-Contrast Multivessel Revascularization for Acute Coronary Syndrome in a Patient With Chronic Kidney Disease

Mahesh V Madhavan; Megha Prasad; Khady N Fall; Hussein M Rahim; Ziad A Ali

doi:10.1016/j.jaccas.2019.11.006

Zero-Contrast Multivessel Revascularization for Acute Coronary Syndrome in a Patient With Chronic Kidney Disease

JACC Case Rep. 2019 Dec 18;1(5):774-780. doi: 10.1016/j.jaccas.2019.11.006.

Authors

Mahesh V Madhavan^{1

2}, Megha Prasad^{1

2}, Khady N Fall¹, Hussein M Rahim¹, Ziad A Ali^{1

2}

Affiliations

¹ NewYork-Presbyterian Hospital/Columbia University Irving Medical Center, New York, New York.
² Clinical Trials Center, Cardiovascular Research Foundation, New York, New York.

Abstract

Patients with chronic kidney disease are at elevated risk for adverse events after traditional coronary angiography and percutaneous intervention with contrast media. The case presented in this report highlights the potential benefits of zero-contrast multivessel percutaneous coronary intervention in a patient presenting with a non-ST-segment elevation acute coronary syndrome. (Level of Difficulty: Beginner.).

Keywords: CAD, coronary artery disease; CKD, chronic kidney disease; CSA, cross-sectional area; ISR, in-stent restenosis; IVUS, intravascular ultrasound; LAD, left anterior descending; LCX, left circumflex; MLD, minimal lumen diameter; NSTEACS, non–ST-segment elevation acute coronary syndrome; OM, obtuse marginal; PCI, percutaneous coronary intervention; RCA, right coronary artery; coronary angiography; iFR, instantaneous wave-free ratio; intravascular ultrasound; percutaneous coronary intervention.

Publication types

Case Reports