Misselt Andrew J, McKusick Michael A, Stockland Andrew, Misra Sanjay
Department of Radiology & Division of Vascular and Interventional Radiology, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN 55905, USA.
J Vasc Interv Radiol. 2009 Sep;20(9):1240-3. doi: 10.1016/j.jvir.2009.05.028. Epub 2009 Jul 18.
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.
肾动脉狭窄（RAS）是一种进展性疾病，可能导致高血压和慢性肾功能不全。经皮肾动脉血管成形术加支架置入是治疗动脉粥样硬化性RAS的一种公认的方法。它很少累及分叉处，对于这种狭窄的治疗，已有使用裸金属支架和药物洗脱支架以吻合法同时置入的描述。动脉粥样硬化栓塞被认为是由肾动脉狭窄（RAS）或动脉粥样硬化性主动脉中微小斑块碎片和胆固醇结晶的释放所引起。在此，作者描述了在肾动脉支架置入过程中使用吻合法栓塞保护装置技术。
