Zero contrast optical coherence tomography-guided percutaneous coronary intervention for in-stent restenosis of the saphenous vein graft using a non-contrast flush medium.

We report a 73-year-old, stage 3 chronic kidney disease patient (CKD), who underwent coronary artery bypass surgery and saphenous vein graft (SVG) stenting in the past, presented with in-stent restenosis (ISR) of SVG stent. Zero contrast optical coherence tomography (OCT) guided-PCI was successfully performed using low molecular weight dextran-40 (LMWD-40) as the flush medium. Our report suggests the safety and feasibility of LMWD-40-based OCT-guided zero contrast PCI in ISR of SVG in a CKD patient, although further prospective studies are needed to evaluate this technique. PMID: 30595315 [PubMed - in process]

https://www.ncbi.nlm.nih.gov/pubmed/30595315?dopt=Abstract

Source: Indian Heart J - December 1, 2018 Category: Cardiology Authors: Vasu N, Subban V, Ajit Mullasari S Tags: Indian Heart J Source Type: research