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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...

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Detalles Bibliográficos
Autores principales: Leonardou, Polytimi, Pappas, Paris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
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.
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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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