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KMID : 0191120110260111512
Journal of Korean Medical Science
2011 Volume.26 No. 11 p.1512 ~ p.1514
Use of Drug-Eluting Stent with Provisional T-Stenting Technique in the Treatment of Renal Artery Bifurcation Stenosis; Long-term Angiographic Follow-up
Ahn Ji-hun

Park Sang-Ho
Shin Won-Yong
Lee Se-Whan
Lee Seung-Jin
Jin Dong-Kyu
Kim Do-Hoi
Kim Tae-Hoon
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.
KEYWORD
Renal Artery Bifurcation, Drug-Eluting Stents
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