Difference between revisions of "Renal artery stenting"

(Created page with "Materials: * Preprocedure plan * * Guiding catheter,")
 
 
Line 1: Line 1:
 
Materials:
 
Materials:
 
* Preprocedure plan
 
* Preprocedure plan
*  
+
* Recurve catheter like Sos. C2 catheter
* Guiding catheter,
+
* Angled 035 or 018 glidewire 
 +
* Guiding catheter
 +
* Rosen wire
 +
* stent, stent graft
 +
predilate stenosis with balloon and advance the guiding catherer over the balloon as it deflates 
 +
 
 +
stent fish scaling, possible need second stent, possible recover stent and re-crimp it. Can overdeploy stent into the internal iliac. 
 +
 
 +
Balloon rupture- exchange stent mounted balloon with lowest profile balloon to expand the proximal edge to prevent peripheral migration
 +
 
 +
Bilateral severe RAS, flash pulmonary edema, acute Renal failure? , FMD(don’t require stents).
 +
 
 +
Complications:
 +
* Ostium dissection which may extend into the abdominal aorta
 +
* Atheroemboli
 +
* Renal capsular perforation
 +
* Bleeding
 +
* Infection at access and of the stent
 +
* Balloon rupture, vascular injury
 +
* Contrast induces nephropathy

Latest revision as of 05:47, 20 February 2019

Materials:

  • Preprocedure plan
  • Recurve catheter like Sos. C2 catheter
  • Angled 035 or 018 glidewire
  • Guiding catheter
  • Rosen wire
  • stent, stent graft

predilate stenosis with balloon and advance the guiding catherer over the balloon as it deflates

stent fish scaling, possible need second stent, possible recover stent and re-crimp it. Can overdeploy stent into the internal iliac.

Balloon rupture- exchange stent mounted balloon with lowest profile balloon to expand the proximal edge to prevent peripheral migration

Bilateral severe RAS, flash pulmonary edema, acute Renal failure? , FMD(don’t require stents).

Complications:

  • Ostium dissection which may extend into the abdominal aorta
  • Atheroemboli
  • Renal capsular perforation
  • Bleeding
  • Infection at access and of the stent
  • Balloon rupture, vascular injury
  • Contrast induces nephropathy

Contributing Authors

Kevin Liu