Renal artery stenosis in a patient with Leriche syndrome: brachial artery access for stent placement.
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.
Jian
Wang
W
Department of Radiology and Center for Advanced Medical Technology, Nippon Medical School, Tokyo 113-8603, Japan.
Tajima
Hiroyuki
H
Murata
Satoru
S
Abe
Yutaka
Y
Hakozaki
Kenta
K
Kumazaki
Tatsuo
T
Kasuga
Miwa
M
Takano
Teruo
T
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