Stenting of a renal artery bifurcation stenosis

Renal artery stenosis involving the renal artery ostium often responds suboptimally to balloon angioplasty. In this context, immediate and long‐term results can be optimized by stenting. Occasionally, lesions may involve the midartery segment at a branch point. We report a case of a bifurcation lesion which responded poorly to balloon angioplasty despite the kissing balloon technique. Excellent angiographic result was finally achieved by deploying two flexible coil stents in a “kissing” fashion. The patient's hypertension came under control overnight. At 6‐month follow up, he remained normotensive on no medication. Repeat renal angiogram also showed no restenosis. Cathet. Cardiovasc. Diagn. 45:445–449, 1998. © 1998 Wiley‐Liss, Inc.