Discover and read the best of Twitter Threads about #ZeroContrastPCI

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Zero contrast PCI tweetorial.
With prior good experience of ultra low contrast PCI we performed zero contrast PCI of RCA in a patient with CKD4 with h/o temp dialysis! EF20%, LIMA-LAD patent, No Grafts to PDA, OM with severe disease.
Pre RCA PCI iFR 0.85, post 1.01. A thread!👇
1. Practice lower contrast use in general.
2. Use <100 cc diagnostic+adhoc PCI to start & gain more experience.
3. Then move to low & very low contrast PCI to gain more confidence. (Have done several less than 10-15 cc PCI)
4. Use IVUS in every case to gain high confidence.
5. If IC doing peripheral work do 0 contrast work in leg first & gain confidence w IVUS result & correlate with CO2 final confirmation.
6. Watch angiogram for staged procedure several times on different days and memorize landmarks, Calcium, beds etc.
7. Take zoomed noncon Cine.
Read 12 tweets
AGIKplenum: Unverzichtbar im Katheterlabor!?
(Raum 12 @kardiologie_org)

❤️Erster Vortrag:
Intravaskuläre Bildgebung📸 (David Leistner | @m_leistner | Berlin)

#DGKJahrestagung @HolgerNef @kaschenke @MarcVorpahl @thiele_holger
MLD-MAX Konzept

1: MLD
#DGKJahrestagung 2021
Read 8 tweets

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