ABSTRACT The use of iodinated contrast media in coronary procedures may lead to contrast-induced nephropathy – particularly in older adults, diabetic individuals and patients with previous renal disease – and increase morbidity and mortality. There is no specific treatment for this condition; therefore, use of low contrast volumes and previous hydration remain the best prevention strategies. A case of percutaneous coronary intervention without contrast agent administration, involving an elderly female patient with chronic renal insufficiency and stable angina, is described. […]