Volume 45, Issue 4 pp. 445-449
Case Report

Stenting of a renal artery bifurcation stenosis

David S. W. Ho MD, PhD

Corresponding Author

David S. W. Ho MD, PhD

Cardiology Unit, Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong KongSearch for more papers by this author
W. H. Chen MD

W. H. Chen MD

Cardiology Unit, Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

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C. Woo RN

C. Woo RN

Cardiology Unit, Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

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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. Cathet. Cardiovasc. Diagn. 45:445–449, 1998. © 1998 Wiley-Liss, Inc.

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