title: Renal artery stenosis in a patient with Leriche syndrome: brachial artery access for stent placement.
abstract: We encountered a patient with Leriche syndrome and general atherosclerotic disease. His renal function had deteriorated, and diabetic nephropathy was suspected. Severe left renal artery stenosis was also found and considered, if untreated, to be an important factor in aggravation of his renal function. Because the infrarenal abdominal aorta was completely occluded, we treated the patient by insertion of a stent into the left renal artery from the brachial approach. The operation was successful, without residual stenosis or complications. Renal blood flow was remarkably improved after stent placement.
authors.affiliation: Department of Radiology and Center for Advanced Medical Technology, Nippon Medical School, Tokyo 113-8603, Japan.
authors.forename: Wang
authors.initials: W
authors.lastname: Jian
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tajima
authors.forename: Satoru
authors.initials: S
authors.lastname: Murata
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Abe
authors.forename: Kenta
authors.initials: K
authors.lastname: Hakozaki
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kumazaki
authors.forename: Miwa
authors.initials: M
authors.lastname: Kasuga
authors.forename: Teruo
authors.initials: T
authors.lastname: Takano
mesh_terms: D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001161:Arteriosclerosis / Q000150:complications; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D001916:Brachial Artery; D048909:Diabetes Complications / Q000601:surgery; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery; D007925:Leriche Syndrome / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012078:Renal Artery Obstruction / Q000150:complications* / Q000628:therapy*; D015607:Stents; D014463:Ultrasonography