Zero Contrast Angioplasty: Saving the Heart Without Harming the Kidneys скачать в хорошем качестве

Zero Contrast Angioplasty: Saving the Heart Without Harming the Kidneys

A life-threatening STEMI complicated by kidney failure. Dr. R. Prithviraj explains how Zero Contrast PCI saved both heart and kidneys using IVUS guidance. When a patient arrives with a massive heart attack, every second counts. But what happens when saving the heart could permanently damage the kidneys? In this high-risk case study, Dr. R. Prithviraj, Consultant Interventional Cardiologist at Porunai Hospitals, Tirunelveli, walks us through the treatment of a 60-year-old woman with STEMI (Anterior Wall MI) complicated by Acute Kidney Injury (AKI). ⚠️ The Clinical Dilemma Standard angioplasty requires contrast dye to visualise coronary blockages. However, contrast dye is toxic to failing kidneys and can lead to permanent dialysis. This created a two-front medical crisis: • Treat the heart attack immediately • Protect the kidneys from irreversible damage 💡 The Breakthrough: Zero Contrast PCI To overcome this challenge, the team performed Zero Contrast Percutaneous Coronary Intervention (PCI) — completing the angioplasty without using a single drop of contrast dye. 🔬 The Game Changer: IVUS The procedure was guided by Intravascular Ultrasound (IVUS) — a tiny camera inserted inside the artery that provides real-time, high-definition internal images. This allowed: • Precise identification of blockages • Accurate stent placement • Millimetre-level precision • Complete kidney protection ✅ Outcome • Successful treatment of the heart attack • Kidney function preserved • Dialysis avoided • Full patient recovery Beyond technology, this case reflects patient-first care — where treatment decisions consider not just medical urgency, but also long-term quality of life, emotional wellbeing, and financial feasibility. At Porunai Hospitals, advanced expertise, modern tools, and compassionate care come together — under one roof. 📌 WHAT YOU WILL LEARN • What Zero Contrast PCI is and when it is used • Why contrast dye can be dangerous in kidney failure • How IVUS guides angioplasty without dye • Managing STEMI with co-existing AKI • Real-world application of advanced interventional cardiology ⏱ CHAPTERS 00:00:00 Introduction: Heart Attack with Kidney Failure 00:12:00 Case Study: A Fight on Two Fronts 00:24:00 Diagnosing Severe Frontal Wall Heart Attack 00:41:00 Primary Goal: Dissolving the Clot 01:13:00 The Complication: Acute Kidney Injury 01:37:00 The Dilemma: Save Heart or Kidneys? 02:14:00 The Solution: Zero Contrast PCI 02:29:00 How IVUS Technology Guides Surgery 03:03:00 Summary: The Multi-Modality Approach 03:31:00 Affordable, Patient-Centric Care 03:50:00 Patient Recovery and Conclusion Heart Attack Care • Zero Contrast Angioplasty • IVUS-Guided PCI Follow Porunai Hospitals for more expert medical insights: Instagram:   / porunai_hospitals   Facebook:   / porunaihospitalstirunelveli   LinkedIn:   / porunai-hospitals   YouTube:    / @porunaihospitalstvl   X (Twitter): https://x.com/porunaihospital Threads: https://www.threads.com/@porunai_hosp...