The systemic administration of iodinated contrast media may lead to the development of contrast-induced nephropathy, with a particular higher incidence in diabetics, in the elderly and in those with preexisting renal disease, and is associated with increased morbidity and mortality. There is no specific treatment for contrast-induced nephropathy and one way to prevent it is to use a small volume of contrast media. We report a case of coronary stent implantation in a patient with chronic renal failure and acute coronary syndrome, using only 3 ml of contrast, utilizing the ACIST TM injection system and intravascular ultrasound to aid the procedure.
Angioplasty; Stents. Renal insufficiency; chronic; Acute coronary syndrome; Contrast media
