Ultra-Low Contrast Percutaneous Coronary Intervention Guided by Optical Coherence Tomography Complicated by Coronary Perforation

Scott A Harding; Thalib Mowjood; Sarah Fairley

doi:10.1016/j.jaccas.2020.09.029

Ultra-Low Contrast Percutaneous Coronary Intervention Guided by Optical Coherence Tomography Complicated by Coronary Perforation

JACC Case Rep. 2020 Dec 16;2(15):2429-2431. doi: 10.1016/j.jaccas.2020.09.029. eCollection 2020 Dec.

Authors

Scott A Harding¹, Thalib Mowjood¹, Sarah Fairley¹

Affiliation

¹ Wellington Hospital, Wellington, New Zealand.

Abstract

Percutaneous coronary intervention (PCI) in patients with chronic kidney disease is associated with a high-risk of contrast-induced nephropathy. We describe a case of ultra-low contrast PCI guided using optical coherence tomography using normal saline for clearance complicated by distal wire perforation treated with embolization. (Level of Difficulty: Intermediate.).

Keywords: LAD, left anterior descending artery; OCT, optical coherence tomography; PCI, percutaneous coronary intervention; chronic kidney disease; contrast-induced nephropathy; optical coherence tomography; percutaneous coronary intervention; perforation.