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Prace kazuistyczne
Opublikowany online: 2018-09-18
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"Sepal wire technique"- a novel technique for percutaneous transluminal renal angioplasty of aorto-ostial lesion.

Santosh Kumar Sinha, Vinay Krishna, Kumar Himanshu, Puneet Aggarwal, Lokendra Rekwaal, Mahmodulla Razi
DOI: 10.5603/FC.a2018.0100

dostęp otwarty

Ahead of print
Prace kazuistyczne
Opublikowany online: 2018-09-18

Streszczenie

Renal artery stenosis (RAS) is the most common cause of secondary hypertension. Percutaneous transluminal renal angioplasty (PTRA) is associated with improved blood pressure control, preservation of renal function, and has a high technical success rate with an acceptable adverse event and restenosis rate. Aorto-ostial renal artery intervention remains a challenge, as precise positioning of stents using conventional angiographic landmarks is difficult. We describe a novel technique stent positioning for aorto-ostial lesion of renal artery that makes use of a simple additional workhorse wire curling back into the aorta like the sepal of a flower in a 61-year-old hypertensive male. PTRA using left transradial approach was performed by deploying 6x18 mm stent (Herculink, Boston, USA) by deploying at 8 atmospheres, and further flaring the ostium by little pulling up the balloon at 10 atmospheres obtaining adequate result. At 3-years follow-up by computed tomography, it was well opposed and patent.

Streszczenie

Renal artery stenosis (RAS) is the most common cause of secondary hypertension. Percutaneous transluminal renal angioplasty (PTRA) is associated with improved blood pressure control, preservation of renal function, and has a high technical success rate with an acceptable adverse event and restenosis rate. Aorto-ostial renal artery intervention remains a challenge, as precise positioning of stents using conventional angiographic landmarks is difficult. We describe a novel technique stent positioning for aorto-ostial lesion of renal artery that makes use of a simple additional workhorse wire curling back into the aorta like the sepal of a flower in a 61-year-old hypertensive male. PTRA using left transradial approach was performed by deploying 6x18 mm stent (Herculink, Boston, USA) by deploying at 8 atmospheres, and further flaring the ostium by little pulling up the balloon at 10 atmospheres obtaining adequate result. At 3-years follow-up by computed tomography, it was well opposed and patent.

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Słowa kluczowe

Aorto-ostial lesion; Atheroembolism; Percutaneous transluminal renal angioplasty; Renal artery stenosis; Sepal wire technique

Informacje o artykule
Tytuł

"Sepal wire technique"- a novel technique for percutaneous transluminal renal angioplasty of aorto-ostial lesion.

Czasopismo

Folia Cardiologica

Numer

Ahead of print

Data publikacji on-line

2018-09-18

DOI

10.5603/FC.a2018.0100

Słowa kluczowe

Aorto-ostial lesion
Atheroembolism
Percutaneous transluminal renal angioplasty
Renal artery stenosis
Sepal wire technique

Autorzy

Santosh Kumar Sinha
Vinay Krishna
Kumar Himanshu
Puneet Aggarwal
Lokendra Rekwaal
Mahmodulla Razi

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