Successful technical and clinical outcome using a second generation balloon expandable coronary stent for transplant renal artery stenosis: Our experience

Jason Salsamendi, Keith Pereira, Reginald Baker, Shivank Bhatia, Govindarajan Narayanan

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Transplant renal artery stenosis (TRAS) is a vascular complication frequently seen because of increase in the number of renal transplantations. Early diagnosis and management is essential to optimize a proper graft function. Currently, the endovascular treatment of TRAS using angioplasty and/or stenting is considered the treatment of choice with the advantage that it does not preclude subsequent surgical correction. Treatment of TRAS with the use of stents, particularly in tortuous transplant renal anatomy presents a unique challenge to an interventional radiologist. In this study, we present three cases from our practice highlighting the use of a balloon-expandable Multi-Link RX Ultra coronary stent system (Abbott Laboratories, Abbott Park, Illinois, USA) for treating high grade focal stenosis along very tortuous renal arterial segments. Cobalt–Chromium alloy stent scaffold provides excellent radial force, whereas the flexible stent design conforms to the vessel course allowing for optimal stent alignment.

Original languageEnglish (US)
Pages (from-to)9-17
Number of pages9
JournalJournal of Radiology Case Reports
Volume9
Issue number10
DOIs
StatePublished - Oct 1 2015

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Keywords

  • Endovascular treatment
  • Percutaneous transluminal angioplasty (PTA) and/or stenting
  • Second generation balloon expandable coronary stent
  • Tortuous proximal renal arterial anatomy
  • Transplant renal artery stenosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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