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Stenting of a renal artery bifurcation stenosis

✍ Scribed by Ho, David S. W. ;Chen, W. H. ;Woo, C.

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 230 KB
Volume: 45
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199812)45:4<445::aid-ccd23>3.0.co;2-s

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✦ Synopsis

Renal artery stenosis involving the renal artery ostium often responds suboptimally to balloon angioplasty. In this context, immediate and long-term results can be optimized by stenting. Occasionally, lesions may involve the midartery segment at a branch point. We report a case of a bifurcation lesion which responded poorly to balloon angioplasty despite the kissing balloon technique. Excellent angiographic result was finally achieved by deploying two flexible coil stents in a ''kissing'' fashion. The patient's hypertension came under control overnight. At 6-month follow up, he remained normotensive on no medication. Repeat renal angiogram also showed no restenosis. Cathet.

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