Ultra-low contrast percutaneous coronary intervention (ULCPCI) can be performed electively in advanced chronic kidney disease.Engage guide catheter and advance guidewire into the coronary artery without using contrast.IVUS-guided PCI can reduce the contrast load.Perform co-registration of distal and proximal radio-opaque marker caruso rhodiola bands of intravascular ultrasound (IVUS) catheter.
Deploy the stent at the target lesion under fluoroscopic guidance of these co-registered position of the IVUS-marking images.Complete the ULCPCI procedure with a final angiography using minimal contrast.Newer contrast sparing techniques and intravascular imaging technologies provide opportunities to viqua-f4 perform ULCPCI efficiently with good results and the least complications.