| Rupture of the renal artery after cutting balloon angioplasty in a young woman with fibromuscular dysplasia. | |
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MedLine Citation:
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PMID: 15886929 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 x 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. |
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Authors:
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Levent Oguzkurt; Fahri Tercan; Oner Gulcan; Riza Turkoz |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 28 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2005 May-Jun |
Date Detail:
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Created Date: 2005-06-03 Completed Date: 2005-09-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 360-3 Citation Subset: IM |
Affiliation:
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Department of Radiology, Adana Teaching and Medical Research Centre, Baskent University, Dadaloglu Mah 39, Sok No. 6, Yuregir, Adana 01250, Turkey. loguzkurt@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angioplasty, Balloon / adverse effects* Balloon Dilatation Blood Loss, Surgical Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Female Fibromuscular Dysplasia / complications* Follow-Up Studies Humans Polytetrafluoroethylene Renal Artery / injuries* Renal Artery Obstruction / therapy* Rupture |
| Chemical | |
Reg. No./Substance:
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9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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