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2013, Cilt 4, Sayı 3, Sayfa(lar) 145-147
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Contrast Induced Nephropathy can be Surpassed with Meticulous Attention Even in Patients with Severe Renal Dysfunction
Aleks Değirmencioğlu2, Gültekin Karakuş2, Ertuğrul Zencirci2, Ahmet Akyol1
1Acıbadem University School of Medicine, Department of Cardiology, Istanbul, Turkey
2Acıbadem Maslak Hospital, Cardiology, Istanbul, Turkey
Keywords: Dialysis, contrast media, creatinine, nephropathy, percutaneous coronary intervention
Contrast induced nephropathy (CIN) is one of the most important complications of the percutaneous coronary intervention (PCI) and may lead to dialysis especially in the presence of baseline high creatinine level. Here we describe coronary angiography and subsequent successful PCI of proximal left anterior descending (LAD) artery lesion without developing CIN in patient who has medically refractory angina pectoris and baseline very high creatinine level (6.3 mg/dl). This case report illustrates the potential role of invasive approach in patients with coronary artery disease even in the presence of severe renal dysfunction by using preventive measures and close monitoring.
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