title: Use of kissing embolic protection devices in the treatment of early bifurcation renal artery stenosis: a case report.
abstract: Renal artery stenosis (RAS) is a progressive disease that may cause hypertension and chronic renal insufficiency. Percutaneous renal artery angioplasty with stent placement is a well-recognized treatment for atherosclerotic RAS. It can infrequently involve the bifurcation, and treatment of this stenosis has been described using bare metal and drug-eluting stents deployed simultaneously in a kissing fashion. Atheroembolism is believed to be caused by the release of microscopic plaque fragments and cholesterol crystals from the RAS or atherosclerotic aorta. Herein, the authors describe the use of a kissing embolic protection device technique during renal artery stent placement.
authors.affiliation: Department of Radiology & Division of Vascular and Interventional Radiology, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Misselt
authors.forename: Michael A
authors.initials: MA
authors.lastname: McKusick
authors.forename: Andrew
authors.initials: A
authors.lastname: Stockland
authors.forename: Sanjay
authors.initials: S
authors.lastname: Misra
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods*; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D011859:Radiography; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery*