Use of Drug-Eluting Stent with Provisional T-Stenting Technique in the Treatment of Renal Artery Bifurcation Stenosis; Long-term Angiographic Follow-up.
10.3346/jkms.2011.26.11.1512
- Author:
Jihun AHN
1
;
Sang Ho PARK
;
Won Yong SHIN
;
Se Whan LEE
;
Seung Jin LEE
;
Dong Kyu JIN
;
Dohoi KIM
;
Tae Hoon KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Gumi, Korea.
- Publication Type:Case Reports
- Keywords:
Renal Artery Bifurcation;
Drug-Eluting Stents
- MeSH:
Aged;
*Angioplasty;
*Drug-Eluting Stents;
Humans;
Male;
Renal Artery/pathology/radiography;
Renal Artery Obstruction/pathology/*therapy;
Treatment Outcome
- From:Journal of Korean Medical Science
2011;26(11):1512-1514
- CountryRepublic of Korea
- Language:English
-
Abstract:
Atherosclerotic renal artery stenosis (RAS) usually involves the ostium and the proximal one-third of the renal artery main branch. Percutaneous renal artery angioplasty with stent placement is a well recognized treatment for atherosclerotic RAS. Occasionally, atherosclerotic RAS involves renal artery bifurcations. However, stent implantation in atherosclerotic RAS involving bifurcation is not only troublesome, but also challenging because of side branch occlusion and in-stent restenosis (ISR). In the present report, we describe the use of drug-eluting stents (DES) with provisional T-stenting technique for the treatment of renal artery bifurcation lesion. Follow-up angiogram showed no significant ISR 18 months after the procedure. In the treatment of renal bifurcation lesions, a two-stent strategy using DES could be a viable option in selected patients.
