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- Title
Rupture of the Renal Artery After Cutting Balloon Angioplasty in a Young Woman With Fibromuscular Dysplasia.
- Authors
Oguzkurt, Levent; Tercan, Fahri; Gulcan, Oner; Turkoz, Riza
- Abstract
A 24-year-old woman with uncontrollable high blood pressure for 3 months had significant stenosis of the left renal artery caused by fibromuscular dysplasia (FMD). The lesion was resistant to percutaneous transluminal angioplasty at 18 atm with a semicompliant balloon. Angioplasy with a 6 × 10 mm cutting balloon (CB) caused rupture of the artery. Low-pressure balloon inflation decreased but did not stop the leak. An attempt to place a stent-graft (Jostent; Jomed, Rangendingen, Germany) failed, and a bare, 6-mm balloon-expandable stent (Express SD; Boston Scientific, MN) was deployed to seal the leak, which had decreased considerably after long-duration balloon inflation. The bleeding continued, and the patient underwent emergent surgical revascularization of the renal artery with successful placement of a 6-mm polytetrafluoroethylene bypass graft. CBs should be used very carefully in the treatment of renal artery stenosis, particularly in patients with FMD.
- Subjects
DYSPLASIA; CELLULAR pathology; ARTERIAL stenosis; HYPERTENSION; TRANSLUMINAL angioplasty; SURGICAL stents
- Publication
CardioVascular & Interventional Radiology, 2005, Vol 28, Issue 3, p360
- ISSN
0174-1551
- Publication type
Article
- DOI
10.1007/s00270-004-9176-7