title: Stents in renal artery bifurcation stenosis: a case report.
abstract: A 39-year-old patient presented with poorly controlled hypertension, and she was referred to renal angiogram and potential renal angioplasty. Renal angiogram showed a bifurcation lesion of the right renal artery. A guide wire was used to cross the upper branch, while the lower branch was protected by another same-type guide wire through the same introducer. Two thin monorail balloons were used to dilate the two branches; however, despite balloon dilatation, the stenosis of the vessels persisted. The "kissing balloon" technique was then attempted by simultaneously inflating both branches using the same balloons, but more than a 70% residual stenosis persisted in each branch. Two stents were finally placed in a "kissing" way through the main renal artery. The imaging and clinical results were good, without any procedure-related complications. Three years clinical followup was also good, without any reason for further interventional approach.
authors.affiliation: Department of Radiology, Laikon General Hospital of Athens, 115 27 Athens, Greece.
authors.forename: Polytimi
authors.initials: P
authors.lastname: Leonardou
authors.forename: Paris
authors.initials: P
authors.lastname: Pappas