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BackTable / Cardiology / Podcast / Episode #8

Low Contrast PCI: Techniques to Reduce CIN Risk

with Dr. Evan Shlofmitz

Ballin’ on a contrast budget! In this episode of BackTable Cardiology, Dr. Evan Shlofmitz outlines how utilizing imaging and physiology get you the most bang for your buck when performing low contrast PCI for patients with renal impairment.

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Low Contrast PCI: Techniques to Reduce CIN Risk with Dr. Evan Shlofmitz on the BackTable Cardiology Podcast
Ep 8 Low Contrast PCI: Techniques to Reduce CIN Risk with Dr. Evan Shlofmitz
00:00 / 01:04

BackTable, LLC (Producer). (2025, October 7). Ep. 8 – Low Contrast PCI: Techniques to Reduce CIN Risk [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Sameh Sayfo on the BackTable VI Podcast

Dr. Sameh Sayfo is an interventional cardiologist and the program director of endovascular intervention fellowship at Baylor Scott & White in Plano, Texas.

Dr. Evan Shlofmitz on the BackTable Cardiology Podcast

Dr. Evan Shlofmitz is an Interventional Cardiologist at St. Francis Hospital in New York City.

Synopsis

Dr. Shlofmitz, co-director of Optimize PCI (OPCI) and a leading expert in intravascular imaging and physiology from St. Francis Hospital, New York, joins Dr. Sameh Sayfo, interventional cardiologist from Baylor Scott & White The Heart Hospital. Together, they delve into the importance of low contrast PCI, strategies to prevent contrast-induced nephropathy, and the use of advanced imaging techniques to aid in low contrast procedures that are critical for patients with renal impairment.

Dr. Shlofmitz shares insights into staging interventions, optimal use of contrast, and the integration of technologies like dynamic coronary roadmap and angiography-derived physiology. They also discuss the vital role of multidisciplinary collaboration, physician education, and industry support in enhancing patient outcomes by advocating for technology advancements in the cath lab. Dr. Shlofmitz highlights the Optimize PCI (OPCI) conference, which continues to advance the interventional cardiology field by providing hands-on workshops and regional courses in percutaneous cardiac procedures, imaging, access techniques, and much more.

Timestamps

00:00 - Introduction to Guests
02:11 - Impaired Renal Function and Contrast Induced Nephropathy
06:55 - Contrast, GFR, and Hydration Status: Cath Lab Strategies for CKD
12:24 - NCDR and Quality Metrics for CIN
15:28 - Multidisciplinary Care: Bringing Nephrology on Board
18:26 - Staging Diagnostic and Intervention Procedures to Reduce Contrast
20:39 - Ultra Low Contrast Diagnostic Angiogram Technique
25:28 - Moderate Lesions in Ultra Low Contrast
29:36 - Technology: iFR Co-registration and Diagnostic Coronary Roadmap
40:15 - Physician Champions: Advocates for Implementing New Imaging
46:33 - Optimizing PCI (OPCI) Conference
50:40 - Conclusion

Resources

Evan Shlofmitz Provider Profile
https://doctors.catholichealthli.org/provider/evan-scott-shlofmitz/2405486

Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Lesions: 1-Year Results From the Disrupt CAD III Study
https://www.jscai.org/article/S2772-9303(21)00001-6/fulltext

Sameh Sayfo Provider Profile
https://www.bswhealth.com/physician/sameh-sayfo

Statewide Initiative to Increase Intracoronary Imaging Optimization in PCI: A Report From the BMC2 Registry
https://www.jscai.org/article/S2772-9303(25)01152-4/fulltext

Optimize PCI (OPCI) - November Hands-On Workship
https://opci.live/event/opci-michigan-2025/

Optimize PCI (OPCI)
https://opci.live/

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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