Transradial renal artery angioplasty and stenting in a patient with Leriche syndrome.
Percutaneous interventional procedures in the renal arteries are usually performed employing a femoral or brachial vascular access. In contrast, the transradial approach has been established for coronary angiography and angioplasty. We encountered a patient with Leriche syndrome who had renovascular hypertension ascribed to a severe left renal artery stenosis. To stabilize his blood pressure, we made an attempt to relieve the renal artery stenosis with Leriche syndrome by transradial renal artery angioplasty and stenting, using devices for coronary intervention. The procedure was successful without complications or residual stenosis. His hypertension improved with less antihypertensive medications. This case suggests that the radial approach might become an alternative entry site for renal artery interventions.
Shiraishi
Jun
J
Department of Cardiology, Kyoto Prefectural Rakuto Hospital, Kyoto, Japan.
Higaki
Yukiko
Y
Oguni
Atsuhiko
A
Inoue
Miho
M
Tatsumi
Tetsuya
T
Azuma
Akihiro
A
Matsubara
Hiroaki
H
D017130:Angioplasty / Q000379:methods*; D001027:Aortography; D006801:Humans; D006978:Hypertension, Renovascular / Q000601:surgery*; D007925:Leriche Syndrome / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome; D014463:Ultrasonography