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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Main Authors: Polytimi Leonardou, Paris Pappas
Format: Article
Language:English
Published: Wiley 2011-01-01
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.
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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