Leonardou Polytimi, Pappas Paris
Department of Radiology, Laikon General Hospital of Athens, 115 27 Athens, Greece.
Case Rep Med. 2011;2011:653143. doi: 10.1155/2011/653143. Epub 2011 Jul 12.
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.
一名39岁的患者患有控制不佳的高血压，她被转诊进行肾血管造影及可能的肾血管成形术。肾血管造影显示右肾动脉有一处分叉病变。使用一根导丝穿过上分支，同时另一根同类型的导丝通过同一导管鞘保护下分支。使用两个细单轨球囊扩张两个分支；然而，尽管进行了球囊扩张，血管狭窄仍然存在。然后尝试采用“亲吻球囊”技术，使用相同的球囊同时对两个分支进行扩张，但每个分支仍存在超过70%的残余狭窄。最终通过肾主动脉以“亲吻”方式置入了两个支架。影像学和临床结果良好，没有任何与手术相关的并发症。三年的临床随访结果也良好，没有进一步进行介入治疗的理由。
