Covered stent for the treatment of recurrent bilateral renal artery in-stent restenosis.
The optimal treatment for renal artery in-stent restenosis (ISR) is not well established. Reintervention with different strategies including balloon angioplasty, cutting-balloon angioplasty, additional stenting with bare-metal, drug-eluting or covered stents and brachytherapy are effective in achieving immediate angiographic success. However, recurrent ISR rates are high irrespective of treatment strategy. We present a case describing the use of a covered stent for the treatment of recurrent bilateral renal artery ISR after bare-metal and drug-eluting stent implantation and cutting-balloon angioplasty.
Yan
Bryan P
BP
Cardiology Division, Section of Vascular Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. bryan.p.yan@gmail.com
Kiernan
Thomas J
TJ
Rosenfield
Kenneth
K
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D012077:Renal Artery / Q000473:pathology*; D012078:Renal Artery Obstruction / Q000503:physiopathology / Q000517:prevention & control* / Q000601:surgery; D055502:Secondary Prevention