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A dual wire approach to severe ostial bifurcating renal artery stenosis
Author(s) -
Lorin Jeffrey D.,
Hirsh David S.,
Attubato Michael J.,
Sedlis Steven P.
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20723
Subject(s) - medicine , balloon , revascularization , cardiology , percutaneous , stenosis , renal artery stenosis , renal artery , artery , radiology , surgery , kidney , myocardial infarction
Abstract Percutaneous intervention with balloon expandable stents has proven to be an effective measure to enhance renal blood flow and control blood pressure in subjects with severe ostial renal artery lesions. A small cohort of these subjects have an ostial bifurcation, which complicates the approach to revascularization. In these cases there is a concern of creating a total side‐branch occlusion during balloon expansion. We report two cases of an ostial lesion at a renal artery bifurcation revascularized by employing a sequential dilatation double guidewire technique. Using a single 7F sheath in each case, both renal artery branches were wired, and each branch was predilated and stented in a sequential fashion. Excellent angiographic results were obtained in both cases. Published 2006 Wiley‐Liss., Inc.