Stents in Renal Artery Bifurcation Stenosis: A Case Report
A 39-year-old patient presented with poorly controlled hypertension, and she was referred to renal angiogram and potential renal angioplasty. Renal angiogram showed a bifurcation lesion of the right renal artery. A guide wire was used to cross the upper branch, while the lower branch was protected b...
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Wiley
2011-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2011/653143 |
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author | Polytimi Leonardou Paris Pappas |
author_facet | Polytimi Leonardou Paris Pappas |
author_sort | Polytimi Leonardou |
collection | DOAJ |
description | A 39-year-old patient presented with poorly controlled hypertension, and she was referred to renal angiogram and potential renal angioplasty. Renal angiogram showed a bifurcation lesion of the right renal artery. A guide wire was used to cross the upper branch, while the lower branch was protected by another same-type guide wire through the same introducer. Two thin monorail balloons were used to dilate the two branches; however, despite balloon dilatation, the stenosis of the vessels persisted. The “kissing balloon” technique was then attempted by simultaneously inflating both branches using the same balloons, but more than a 70% residual stenosis persisted in each branch. Two stents were finally placed in a “kissing” way through the main renal artery. The imaging and clinical results were good, without any procedure-related complications. Three years clinical followup was also good, without any reason for further interventional approach. |
format | Article |
id | doaj-art-2d85c7ba477e4ba29a13790c88eb8acf |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj-art-2d85c7ba477e4ba29a13790c88eb8acf2025-02-03T01:31:34ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/653143653143Stents in Renal Artery Bifurcation Stenosis: A Case ReportPolytimi Leonardou0Paris Pappas1Department of Radiology, Laikon General Hospital of Athens, 115 27 Athens, GreeceDepartment of Radiology, Laikon General Hospital of Athens, 115 27 Athens, GreeceA 39-year-old patient presented with poorly controlled hypertension, and she was referred to renal angiogram and potential renal angioplasty. Renal angiogram showed a bifurcation lesion of the right renal artery. A guide wire was used to cross the upper branch, while the lower branch was protected by another same-type guide wire through the same introducer. Two thin monorail balloons were used to dilate the two branches; however, despite balloon dilatation, the stenosis of the vessels persisted. The “kissing balloon” technique was then attempted by simultaneously inflating both branches using the same balloons, but more than a 70% residual stenosis persisted in each branch. Two stents were finally placed in a “kissing” way through the main renal artery. The imaging and clinical results were good, without any procedure-related complications. Three years clinical followup was also good, without any reason for further interventional approach.http://dx.doi.org/10.1155/2011/653143 |
spellingShingle | Polytimi Leonardou Paris Pappas Stents in Renal Artery Bifurcation Stenosis: A Case Report Case Reports in Medicine |
title | Stents in Renal Artery Bifurcation Stenosis: A Case Report |
title_full | Stents in Renal Artery Bifurcation Stenosis: A Case Report |
title_fullStr | Stents in Renal Artery Bifurcation Stenosis: A Case Report |
title_full_unstemmed | Stents in Renal Artery Bifurcation Stenosis: A Case Report |
title_short | Stents in Renal Artery Bifurcation Stenosis: A Case Report |
title_sort | stents in renal artery bifurcation stenosis a case report |
url | http://dx.doi.org/10.1155/2011/653143 |
work_keys_str_mv | AT polytimileonardou stentsinrenalarterybifurcationstenosisacasereport AT parispappas stentsinrenalarterybifurcationstenosisacasereport |