A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach

In-stent restenosis of the renal arteries is relatively common and its management is not well studied. An 83-year-old female with bilateral renal artery stenosis and balloon angioplasty and stenting bilaterally one year ago was found to have recurrent severe elevations in the blood pressure despite...

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Main Authors: Maheedhar Gedela, Shenjing Li, Tomasz Stys, Adam Stys
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2017/1742058
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author Maheedhar Gedela
Shenjing Li
Tomasz Stys
Adam Stys
author_facet Maheedhar Gedela
Shenjing Li
Tomasz Stys
Adam Stys
author_sort Maheedhar Gedela
collection DOAJ
description In-stent restenosis of the renal arteries is relatively common and its management is not well studied. An 83-year-old female with bilateral renal artery stenosis and balloon angioplasty and stenting bilaterally one year ago was found to have recurrent severe elevations in the blood pressure despite medical management. Renal artery duplex showed 60–99% stenosis of the right renal artery and 20–59% stenosis of the left renal artery. A subsequent angiography of the right renal artery revealed 80% in-stent restenosis at the ostium. We describe a new approach of balloon angioplasty and stenting through radial access site with the assistance of a GuideLiner in a complex in-stent restenosis of the renal artery.
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publishDate 2017-01-01
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series Case Reports in Vascular Medicine
spelling doaj-art-ed7d2d724b524c109d685c383b31a8712025-02-03T06:07:55ZengWileyCase Reports in Vascular Medicine2090-69862090-69942017-01-01201710.1155/2017/17420581742058A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial ApproachMaheedhar Gedela0Shenjing Li1Tomasz Stys2Adam Stys3Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USASanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USASanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USASanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USAIn-stent restenosis of the renal arteries is relatively common and its management is not well studied. An 83-year-old female with bilateral renal artery stenosis and balloon angioplasty and stenting bilaterally one year ago was found to have recurrent severe elevations in the blood pressure despite medical management. Renal artery duplex showed 60–99% stenosis of the right renal artery and 20–59% stenosis of the left renal artery. A subsequent angiography of the right renal artery revealed 80% in-stent restenosis at the ostium. We describe a new approach of balloon angioplasty and stenting through radial access site with the assistance of a GuideLiner in a complex in-stent restenosis of the renal artery.http://dx.doi.org/10.1155/2017/1742058
spellingShingle Maheedhar Gedela
Shenjing Li
Tomasz Stys
Adam Stys
A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach
Case Reports in Vascular Medicine
title A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach
title_full A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach
title_fullStr A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach
title_full_unstemmed A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach
title_short A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach
title_sort novel technique of stenting of the renal artery in stent restenosis with guideliner r through radial approach
url http://dx.doi.org/10.1155/2017/1742058
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