Role of intravascular ultrasound in minimizing the use of contrast in Percutaneous coronary intervention in patients with chronic stable angina and chronic kidney disease stageIII

Authors

Mahmoud Rady Abd Elzaher, Department of cardiology, Faculty of Medicine , Al-Azhar University, Cairo, Egypt.Follow
Mohammad Ahmed Mosaad, Department of cardiology, Faculty of Medicine , Al-Azhar University, Cairo, Egypt
Mohamed Saad Elgammal, Internal medicine and nephrology department, faculty of medicine , Al-Azhar university, Cairo, Egypt
Ayman AbdElaziz AbdElraman, Internal medicine and nephrology department, faculty of medicine , Al-Azhar university, Cairo, Egypt

Document Type

Original Article

Abstract

Background: Percutaneous coronary procedures (PCIs) are frequently guided by intravascular ultrasonography (IVUS) (PCIs). because it can precisely measure the size of the lumen, plaque, and vessel. The aim of this work was to evaluate role of intravascular ultrasound in minimizing the use of contrast in PCI in patients with chronic stable angina and chronic kidney disease stage III and incidence of acute kidney injury after IVUS based PCI and angiographic based PCI in chronic kidney disease stage III patients. Methods: 50 patients with stage III chronic renal disease and chronic stable angina, both diabetic and non-diabetic, were enrolled in this prospective comparative cohort study. Patients were split into two equally sized groups: Group (A) underwent PCI using angiography regardless of whether they had diabetes, while group (B) underwent PCI using IVUS regardless of whether they had diabetes. Results: The incidence of nephropathy in diabetic patients was significantly higher compared to the non- diabetic patients (P value = 0.035). Post dilatation and stent diameter were significantly higher in group B compared to group A (P value < 0.001, 0.002 respectively) and type of lesion was significantly different between both groups (P value

Diabetes was a major predictor of nephropathy and considerably increased the incidence of nephropathy in diabetic patients compared to non-diabetic patients.

Keywords

Contrast, Percutaneous Coronary Intervention, Stable Angina, Chronic Kidney Disease, Intravascular Ultrasound

Subject Area

Cardiology

How to Cite This Article

Elzaher, Mahmoud Rady Abd; Mosaad, Mohammad Ahmed; Elgammal, Mohamed Saad; and AbdElraman, Ayman AbdElaziz (2023) "Role of intravascular ultrasound in minimizing the use of contrast in Percutaneous coronary intervention in patients with chronic stable angina and chronic kidney disease stageIII," Al-Azhar International Medical Journal: Vol. 4: Iss. 7, Article 34.
DOI: https://doi.org/10.58675/2682-339X.1888