Zero-Contrast PCI
Zero-contrast percutaneous coronary intervention (zero-PCI) is a technique that aims to minimize or eliminate the use of contrast dye during a PCI procedure
It’s a strategy for performing PCI (percutaneous coronary intervention, or angioplasty with stenting) with minimal or no use of contrast dye.
Who Needs ?
- Patients with chronic kidney disease (CKD) or at high risk for contrast-induced acute kidney injury (CI-AKI)
- Those with severe renal impairment, including patients on hemodialysis with residual renal function
- Patients who previously experienced contrast-induced AKI
- Can be used for complex cases, including left main coronary artery interventions and chronic total occlusions
Advantages
- Significantly reduces or eliminates the risk of contrast-induced nephropathy/AKI
- Allows coronary intervention in high-risk CKD patients while preserving renal function
- Can achieve high procedural success rates (90-100% in studies) even for complex lesions
- May reduce hospitalization rates and improve long-term outcomes
- Enables treatment of coronary disease without worsening kidney function in severe CKD
Key features
- Uses intravascular ultrasound (IVUS) for imaging and guidance
- May employ optical coherence tomography (OCT)
- Utilizes angiographic road mapping from prior angiograms
- Relies on physiological measurements like fractional flow reserve (FFR)
What PATIENTS SAYS !!
Vishal Saxena
Heart Patient
I am grateful to Dr Gautam Swaroop for the medical treatment provided to me during my stay at Sahara hospital,when we lost all hopes ...We believe our prayers was answered by competent,composed and caring Dr Gautam swaroop...
Ram Dev Maurya
Heart Patient
I am really happy to quote that generally doctors after doing surgery and operations...immediately after the operation there is poor accessibility of doctors but Dr gautam swaroop is always available for his patient 24*7
Bechan prasad mishra
Heart Patient
30 minutes after my heart attack I was rushed to Sahara hospital Dr. gautam swaroop put a Life saving stent immediately....and i am alive ....whenever I go and meet Dr. Gautam Swaroop for regular checkup I always feel I am in safe hands
Ranjan Kumar singh
Heart Patient
My patient was on ventilator because of heart attack. We were refused from all hospitals in Lucknow including LARI cardiology. We had lost hope. We admitted under Dr Gautam Swaroop. He did Angioplasty on ventilator and he saved my Father’s life. He has got miraculous hand.My whole family is thankful to him. He is next to God for us.
