Stenting of a renal artery bifurcation stenosis

Cathet Cardiovasc Diagn. 1998 Dec;45(4):445-9. doi: 10.1002/(sici)1097-0304(199812)45:4<445::aid-ccd23>3.0.co;2-s.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Catheterization
  • Humans
  • Male
  • Radiography
  • Renal Artery Obstruction / diagnostic imaging
  • Renal Artery Obstruction / therapy*
  • Stents*