Renal artery stenting with two simultaneous protection devices.
OBJECTIVE
To describe a new technique for distal protection during stenting of a bifurcated renal artery using two simultaneous filter devices.


METHODS
A 70-year-old patient underwent angiography of a single functional kidney. Severe proximal, nonostial narrowing of an early bifurcated renal artery was found. Two AngioGuard filter protection devices were placed, one in each branch. A balloon mounted stent was advanced over both wires simultaneously till they reached divergence point, expanded fully, and the protection devices were retrieved. No complications were observed and the final result was good.


CONCLUSIONS
The concomitant use of two protection devices is feasible in a particular anatomy context.
Plich
Michael
M
Invasive Cardiology Unit, Ziv Medical Center, Zefat, Israel.
Klein
Roberto
R
D000368:Aged; D000737:Androstenols; D002404:Catheterization / Q000379:methods*; D005374:Filtration / Q000295:instrumentation; D006801:Humans; D008297:Male; D012077:Renal Artery / Q000033:anatomy & histology; D012078:Renal Artery Obstruction / Q000628:therapy*; D015607:Stents; D013923:Thromboembolism / Q000517:prevention & control*
D000737:Androstenols; C069085:stenbolone