AKI After PCI: Optimizing Contrast Selection for Real‑World Prevention-A Case of Optimized Contrast Use, Dr. Sundaram

A Case of Optimized Contrast Use, Dr. Sundaram

Video Transcription

Video Summary

The speaker reviewed case-based strategies for minimizing contrast use in angiography, PCI, and peripheral interventions, especially in patients with chronic kidney disease. Examples included staged coronary PCI with hydration, withholding nephrotoxic drugs, using prior angiograms, roadmap imaging, saline engagement confirmation, guide extension catheters, wires as markers, and IVUS to define and optimize lesions. Cases involved complex coronary disease, chronic total occlusions, ACS, and peripheral SFA CTO intervention. The talk emphasized selective imaging, fluoroscopic landmarks, and avoiding unnecessary contrast injections to reduce contrast-induced kidney injury while still achieving successful revascularization.

Asset Caption

closed captions are computer-generated

Keywords

contrast minimization

angiography

chronic kidney disease

PCI

IVUS