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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140787/ https://www.ncbi.nlm.nih.gov/pubmed/21789043 http://dx.doi.org/10.1155/2011/653143 |
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author | Leonardou, Polytimi Pappas, Paris |
author_facet | Leonardou, Polytimi Pappas, Paris |
author_sort | Leonardou, Polytimi |
collection | PubMed |
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 | Online Article Text |
id | pubmed-3140787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-31407872011-07-25 Stents in Renal Artery Bifurcation Stenosis: A Case Report Leonardou, Polytimi Pappas, Paris Case Rep Med 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 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. Hindawi Publishing Corporation 2011 2011-07-12 /pmc/articles/PMC3140787/ /pubmed/21789043 http://dx.doi.org/10.1155/2011/653143 Text en Copyright © 2011 P. Leonardou and P. Pappas. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Leonardou, Polytimi Pappas, Paris Stents in Renal Artery Bifurcation Stenosis: A Case Report |
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 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140787/ https://www.ncbi.nlm.nih.gov/pubmed/21789043 http://dx.doi.org/10.1155/2011/653143 |
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