Chronic kidney disease is a common comorbidity in patients with peripheral artery disease (PAD). Current guidelines recommend an “endovascular first” strategy in cases where for revascularization is indicated Contrast-induced nephropathy (CIN) is a particularly common complication in patients with pre-existing chronic renal disease, diabetes, heart failure, and dehydration which is associated with increased time in hospital and long-term mortality Carbon dioxide (CO2) gas can be used as an alternative contrast agent, as it is absorbed almost instantaneously as opposed to other gases. In this report, we describe a case of percutaneous transluminal angioplasty of an occluded left main iliac artery using CO₂ as contrast medium due to the presence of severe chronic kidney disease (glomerular filtration rate of 24 ml/min/1.77 m²).
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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