Preventive Interventional Cardiologist #CHIP #CTO #imagefirst #PreventionIsBetterThanCure tweets personal views ≠medical advise #AFMC उद्यमेनैव हि सिध्यन्ति
Mar 26, 2022 • 12 tweets • 7 min read
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.
