Abstract | BACKGROUND: METHODS AND RESULTS: The 36 consecutive patients with chronic renal insufficiency underwent preprocedural evaluation with duplex examination, magnetic resonance angiography (MRA) without contrast media, and plain computed tomography (CT). A total of 51 lesions were treated using intravascular ultrasound (IVUS) without contrast media. The overall technical success was 100% without any complications. Pre- and postprocedural ankle-brachial indices changed from 0.59 ± 0.23 to 0.92 ± 0.14. The mean serum creatinine concentration before and after treatment, and 3 months after treatment did not change (2.1 ± 1.4, 2.0 ± 1.4, and 2.1 ± 1.6 mg/dl, respectively). The overall 3-month survival rate and limb salvage rate was 100%. CONCLUSIONS: EVT comprising duplex, MRA, and CT for preprocedural evaluation and IVUS-guided procedure is feasible and may avoid intra-arterial contrast injection in selected patients deemed at high risk for renal failure from nephrotoxic contrast material.
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Authors | Daizo Kawasaki, Kenichi Fujii, Masashi Fukunaga, Naohiko Fujii, Motomaru Masutani, Masaaki Lee Kawabata, Takeshi Tsujino, Mitsumasa Ohyanagi, Tohru Masuyama |
Journal | Circulation journal : official journal of the Japanese Circulation Society
(Circ J)
Vol. 75
Issue 1
Pg. 179-84
( 2011)
ISSN: 1347-4820 [Electronic] Japan |
PMID | 21099122
(Publication Type: Journal Article)
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Chemical References |
- Biomarkers
- Contrast Media
- Creatinine
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Topics |
- Aged
- Aged, 80 and over
- Ankle Brachial Index
- Arterial Occlusive Diseases
(complications, diagnosis, therapy)
- Biomarkers
(blood)
- Constriction, Pathologic
- Contrast Media
(adverse effects)
- Creatinine
(blood)
- Diagnostic Imaging
(methods)
- Endovascular Procedures
(adverse effects, instrumentation)
- Female
- Femoral Artery
(diagnostic imaging)
- Humans
- Iliac Artery
(diagnostic imaging)
- Japan
- Magnetic Resonance Angiography
- Male
- Middle Aged
- Predictive Value of Tests
- Radiation Dosage
- Renal Insufficiency, Chronic
(blood, complications)
- Stents
- Time Factors
- Tomography, X-Ray Computed
- Treatment Outcome
- Ultrasonography, Doppler, Duplex
- Ultrasonography, Interventional
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