Modification of the No-Touch Technique during Renal Artery Stenting

Renal artery stenting has been established as the primary form of renal artery stenosis revascularization procedure. The no-touch technique is proposed in order to avoid renal artery injury and atheroembolism during renal artery stenting. We describe a modification of the no-touch technique by using...

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Main Author: John A. Stathopoulos
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2013/516267
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author John A. Stathopoulos
author_facet John A. Stathopoulos
author_sort John A. Stathopoulos
collection DOAJ
description Renal artery stenting has been established as the primary form of renal artery stenosis revascularization procedure. The no-touch technique is proposed in order to avoid renal artery injury and atheroembolism during renal artery stenting. We describe a modification of the no-touch technique by using an over-the-wire (OTW) balloon or a Quickcross catheter with a coronary wire inside, instead of the rigid  J wire. The reported technique, while it prevents direct contact of the guiding catheter with the aortic wall, at the same time it allows for a closer contact with the renal arterial ostium and a more favorable guiding catheter orientation, compared to what is achieved with the use of the more rigid  J wire, thus improving visualization, reducing the amount of contrast required, and potentially decreasing complications.
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series Case Reports in Vascular Medicine
spelling doaj-art-0a5b889f693f4a398c5230bb168c88d52025-02-03T01:12:03ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/516267516267Modification of the No-Touch Technique during Renal Artery StentingJohn A. Stathopoulos0Columbia University, 30-10 38th Street, 2nd Floor, Astoria, NY 11103, USARenal artery stenting has been established as the primary form of renal artery stenosis revascularization procedure. The no-touch technique is proposed in order to avoid renal artery injury and atheroembolism during renal artery stenting. We describe a modification of the no-touch technique by using an over-the-wire (OTW) balloon or a Quickcross catheter with a coronary wire inside, instead of the rigid  J wire. The reported technique, while it prevents direct contact of the guiding catheter with the aortic wall, at the same time it allows for a closer contact with the renal arterial ostium and a more favorable guiding catheter orientation, compared to what is achieved with the use of the more rigid  J wire, thus improving visualization, reducing the amount of contrast required, and potentially decreasing complications.http://dx.doi.org/10.1155/2013/516267
spellingShingle John A. Stathopoulos
Modification of the No-Touch Technique during Renal Artery Stenting
Case Reports in Vascular Medicine
title Modification of the No-Touch Technique during Renal Artery Stenting
title_full Modification of the No-Touch Technique during Renal Artery Stenting
title_fullStr Modification of the No-Touch Technique during Renal Artery Stenting
title_full_unstemmed Modification of the No-Touch Technique during Renal Artery Stenting
title_short Modification of the No-Touch Technique during Renal Artery Stenting
title_sort modification of the no touch technique during renal artery stenting
url http://dx.doi.org/10.1155/2013/516267
work_keys_str_mv AT johnastathopoulos modificationofthenotouchtechniqueduringrenalarterystenting