Stents in Renal Artery Bifurcation Stenosis : A Case Report

Abstract EN

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.