Yan Bryan P, Kiernan Thomas J, Rosenfield Kenneth
Cardiology Division, Section of Vascular Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
J Invasive Cardiol. 2008 Oct;20(10):E288-92.
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.
肾动脉支架内再狭窄（ISR）的最佳治疗方法尚未完全确立。采用不同策略进行再次干预，包括球囊血管成形术、切割球囊血管成形术、使用裸金属支架、药物洗脱支架或覆膜支架进行额外支架置入以及近距离放射治疗，均可在血管造影中取得即时成功。然而，无论采用何种治疗策略，ISR复发率都很高。我们报告一例病例，描述了在植入裸金属支架和药物洗脱支架以及进行切割球囊血管成形术后，使用覆膜支架治疗复发性双侧肾动脉ISR的情况。
