Ultra low contrast angioplasty and fistuloplasty are advanced vascular procedures designed specifically for patients with Chronic Kidney Disease (CKD). These techniques allow safe treatment of narrowed or blocked blood vessels while minimizing or completely avoiding contrast dye, thereby preserving kidney function and reducing the risk of contrast-associated acute kidney injury (CA-AKI).
Ultra–low contrast vascular interventions help CKD patients undergo life-saving angioplasty and fistuloplasty safely without worsening kidney function.
In patients with kidney disease, traditional angioplasty using contrast dye can accelerate renal damage. Ultra–low contrast angioplasty (ULCA) utilizes modern imaging techniques such as IVUS, CO₂ angiography, and fluoroscopic roadmap guidance to safely open blocked vessels with minimal or near-zero contrast exposure.
- Minimal contrast use (as low as 3–8 mL) or zero-contrast techniques
- IVUS (Intravascular Ultrasound) for precise vessel visualization
- CO₂ angiography for kidney-safe vascular imaging
- Safe for CKD stage 3–5 and dialysis-dependent patients
- Preserves kidney function and prevents contrast-induced nephropathy
- Effective for peripheral arteries, renal arteries, coronary arteries, and AV fistulas
When Is Ultra–Low Contrast Angioplasty & Fistuloplasty Needed?
Ultra–low contrast vascular interventions are recommended for patients who are at high risk of kidney injury where traditional contrast-based procedures may be harmful.
Patients with CKD stage 3–5, dialysis-dependent patients, diabetic kidney disease, a single functioning kidney, or a history of contrast-induced nephropathy.
A kidney-safe procedure used to repair narrowed or blocked AV fistulas or grafts using CO₂ venography and ultrasound guidance to preserve dialysis access.
Yes. These procedures are specifically designed for dialysis patients and avoid iodinated contrast, making them extremely safe.
Treats fistula narrowing (stenosis), thrombosis, poor flow, prolonged bleeding, and difficulty during cannulation.
Protects kidney function, reduces complications, ensures high accuracy with IVUS, and allows faster recovery with low complication rates.
Advanced Ultra–Low Contrast Angioplasty Care
Specialized vascular procedures for CKD patients using ultra-low contrast techniques, IVUS guidance, and CO₂ angiography to ensure safety, precision, and kidney protection.
