Rupture of the renal artery after cutting balloon angioplasty in a young woman with fibromuscular dysplasia


Oguzkurt L., Tercan F., Gulcan O., Turkoz R.

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, vol.28, no.3, pp.360-363, 2005 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 3
  • Publication Date: 2005
  • Doi Number: 10.1007/s00270-004-9176-7
  • Title of Journal : CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Page Numbers: pp.360-363

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 semi-compliant 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.