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Renal Stenting from the Radial Artery: A Novel Approach

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Abstract

Purpose: To describe the technique and feasibility of renal artery angioplasty and stenting from the radial artery. Methods: A series of 19 patients were evaluated for transradial renal artery intervention. Procedures were performed using carbon dioxide gas (CO2) as the preferred angiographic contrast agent. Intervention was performed through a 5 Fr radial artery sheath using low-profile balloons and balloon-expandable stents. Results: Nineteen patients with 26 stenosed renal arteries were considered for treatment via the radial route. A negative Allen’s test precluded radial puncture in two (11%). In one patient the descending aorta could not be catheterized. Stenting from the radial route was successful in 22 renal arteries in 16 patients. On an intention-to-treat basis 16 of the 19 (84%) were treatable from the radial route. In the 17 patients with radial access technical success was 94% (16 of 17) patients and 91% (21 of 23) of renal arteries. One patient experienced a cerebrovascular event during intervention. Conclusion: Transradial renal artery intervention is technically feasible using low-profile angioplasty balloons and stents. This route offers advantages in renal arteries with a caudal angulation and in patients with diseases or tortuous iliac arteries.

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Acknowledgements

Acknowledgment. This study was supported by the provision of 10 Saxx stents by Bard UK.

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Authors and Affiliations

  1. St. James’s University Hospital, United Leeds Hospitals Trust, Beckett Street, Leeds LS9 7TF, UK

    David O. Kessel, Iain Robertson, Edward J. Taylor & Jai V. Patel

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  1. David O. Kessel
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  2. Iain Robertson
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  3. Edward J. Taylor
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  4. Jai V. Patel
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Kessel, D., Robertson, I., Taylor, E. et al. Renal Stenting from the Radial Artery: A Novel Approach . CVIR 25, 146–149 (2003). https://doi.org/10.1007/s00270-001-0114-7

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  • DOI: https://doi.org/10.1007/s00270-001-0114-7

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