Anil Om
McLeod Regional Medical Center, USA
Title: Percutaneous Coronary Interventions in patients with renal insufficiency
Biography
Biography: Anil Om
Abstract
Contrast-induced nephropathy (CIN) is one of the complications of contrast angiography. Various measures have been tried to reduce CIN, but so far, pre-procedural good hydration and minimal contrast used in the procedure have been shown to be of real benefit. This study reports performing percutaneous coronary intervention (PCI) with minimal contrast.
Twelve patients with base-line significant renal insufficiency, felt to be at higher risk of CIN, underwent thirteen separate PCI by a single-operator. Their charts were retrospectively reviewed for amount of contrast used and follow-up creatinine. All patients had iso-ismolar contrast and underwent evaluation by intravascular ultrasound.
No patients had CIN (defined by increase in 20% of serum creatinine from base line) and there were no procedural complications.
PCI in patients with baseline significant renal abnormality can be safely undertaken with proper precautionary steps (beyond the scope of this abstract) during the procedure.
