Full Text:   <2650>

CLC number: R54

On-line Access: 2010-08-05

Received: 2010-06-08

Revision Accepted: 2010-06-21

Crosschecked: 2010-06-08

Cited: 3

Clicked: 5488

Citations:  Bibtex RefMan EndNote GB/T7714

-   Go to

Article info.
1. Reference List
Open peer comments

Journal of Zhejiang University SCIENCE B 2010 Vol.11 No.8 P.561-567


Two-stent strategy for renal artery stenosis with bifurcation lesion

Author(s):  Hong-bing Yan, Bin Zheng, Zheng Wu, Jian Wang, Han-jun Zhao, Li Song, Yun-peng Chi

Affiliation(s):  Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

Corresponding email(s):   yan591204@yahoo.com.cn

Key Words:  Peripheral atherosclerotic artery disease, Angioplasty, Stents, Renal artery stenosis

Hong-bing Yan, Bin Zheng, Zheng Wu, Jian Wang, Han-jun Zhao, Li Song, Yun-peng Chi. Two-stent strategy for renal artery stenosis with bifurcation lesion[J]. Journal of Zhejiang University Science B, 2010, 11(8): 561-567.

@article{title="Two-stent strategy for renal artery stenosis with bifurcation lesion",
author="Hong-bing Yan, Bin Zheng, Zheng Wu, Jian Wang, Han-jun Zhao, Li Song, Yun-peng Chi",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Two-stent strategy for renal artery stenosis with bifurcation lesion
%A Hong-bing Yan
%A Bin Zheng
%A Zheng Wu
%A Jian Wang
%A Han-jun Zhao
%A Li Song
%A Yun-peng Chi
%J Journal of Zhejiang University SCIENCE B
%V 11
%N 8
%P 561-567
%@ 1673-1581
%D 2010
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1001001

T1 - Two-stent strategy for renal artery stenosis with bifurcation lesion
A1 - Hong-bing Yan
A1 - Bin Zheng
A1 - Zheng Wu
A1 - Jian Wang
A1 - Han-jun Zhao
A1 - Li Song
A1 - Yun-peng Chi
J0 - Journal of Zhejiang University Science B
VL - 11
IS - 8
SP - 561
EP - 567
%@ 1673-1581
Y1 - 2010
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1001001

renal artery stenosis (RAS) with a bifurcation lesion is a challenge for interventional therapy. The aim of this study is to summarize our experience in RAS with a bifurcation lesion. Five patients with RAS involving bifurcation lesion are described. In cases 1 to 3, a single-stent strategy was first adopted. However, these three patients were converted to a two-stent strategy for bailout stent implantation in the side branches. In cases 4 and 5, a simultaneous kissing stent technique was performed. Angiography showed that the reference vascular diameter of the main branch was much larger than those of the side branches. Although obvious residual stenosis existed in cases 1 to 3 after stent implantation, no obvious residual stenosis was seen in cases 4 and 5. Renal artery duplex sonography was performed in cases 1 through 5 at 6, 7, 7, 8, and 6 months, respectively, after the procedures. No evidence of restenosis or occlusion was seen. In conclusion, stent implantation with the simultaneous kissing stent technique may result in more simple and more satisfactory immediate angiographic results.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


[1]Al Suwaidi, J., Yeh, W., Cohen, H.A., Detre, K.M., Williams, D.O., Holmes, D.R.Jr., 2001. Immediate and one-year outcome in patients with coronary bifurcation lesions in the modern era (NHLBI dynamic registry). The American Journal of Cardiology, 87(10):1139-1144.

[2]Colombo, A., Moses, J.W., Morice, M.C., Ludwig, J., Holmes, D.R.Jr., Spanos, V., Louvard, Y., Desmedt, B., Di Mario, C., Leon, M.B., 2004. Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions. Circulation, 109(10):1244-1249.

[3]Ge, H., Zhang, Q., Zhou, W., He, Q., Han, Z.H., He, B., 2010. Efficacy and safety of drug-eluting stent implantation for the treatment of in-stent restenosis occurring within bare-metal stent and drug-eluting stent. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 11(8):553-560.

[4]Lederman, R.J., Mendelsohn, F.O., Santos, R., Phillips, H.R., Stack, R.S., Crowley, J.J., 2001. Primary renal artery stenting: characteristics and outcomes after 363 procedures. American Heart Journal, 142(2):314-323.

[5]Leertouwer, T.C., Gussenhoven, E.J., Bosch, J.L., van Jaarsveld, B.C., van Dijk, L.C., Deinum, J., Man In’t Veld, A.J., 2000. Stent placement for renal arterial stenosis: where do we stand? A meta-analysis. Radiology, 216(1):78-85.

[6]Li, C.J., Wu, Z., Yan, H.B., Wang, J., Zhao, H.J., 2009. Safety and efficacy of coronary drug eluting stent for atherosclerotic stenosis of the small renal artery. Chinese Medical Journal, 122(10):1223-1226.

[7]Misra, S., Sturludottir, M., Mathew, V., Bjarnason, H., McKusick, M., Iyer, V.K., 2008. Treatment of complex stenoses involving renal artery bifurcations with use of drug-eluting stents. Journal of Vascular and Interventional Radiology, 19(2):272-278.

[8]Pan, M., de Lezo, J.S., Medina, A., Romero, M., Segura, J., Pavlovic, D., Delgado, A., Ojeda, S., Melián, F., Herrador, J., 2004. Rapamycin-eluting stents for the treatment of bifurcated coronary lesions: a randomized comparison of a simple versus complex strategy. American Heart Journal, 148(5):857-864.

[9]Rizik, D.G., Klassen, K.J., Hermiller, J.B., 2008. Bifurcation coronary artery disease: current techniques and future directions (part 1). The Journal of Invasive Cardiology, 20(2):82-90.

[10]Zähringer, M., Sapoval, M., Pattynama, P.M., Rabbia, C., Vignali, C., Maleux, G., Boyer, L., Szczerbo-Trojanowska, M., Jaschke, W., Hafsahl, G., 2007. Sirolimus-eluting versus bare-metal low-profile stent for renal artery treatment (GREAT trial): angiographic follow-up after 6 months and clinical outcome up to 2 years. Journal of Endovascular Therapy, 14(4):460-468.

[11]Zähringer, M., Pattynama, P.M., Talen, A., Sapoval, M., 2008. Drug-eluting stents in renal artery stenosis. European Radiology, 18(4):678-682.

[12]Zheng, B., Yan, H.B., Cheng, S.J., Liu, C., Wang, J., Zhao, H.J., Li, Q.X., Song, L., 2010. Prevalence of small diameter renal artery in patients referred to cardiac catheterization. Journal of Cardiovascular and Pulmonary Diseases, 29(2):101-104 (in Chinese).

Open peer comments: Debate/Discuss/Question/Opinion


Please provide your name, email address and a comment

Journal of Zhejiang University-SCIENCE, 38 Zheda Road, Hangzhou 310027, China
Tel: +86-571-87952783; E-mail: cjzhang@zju.edu.cn
Copyright © 2000 - 2024 Journal of Zhejiang University-SCIENCE