DR Ch lDr.Raman Chawlasummitmd.com/pdf/pdf/7_Chawla.pdf · Microsoft PowerPoint - Brij Bhushan1.pptx Author: Owner Created Date: 5/17/2012 4:35:23 PM ...

D R Ch lDr.Raman ChawlaDirector & Chief CardiologistDirector & Chief Cardiologist

Care Max HospitalCare Max HospitalJalandhar (Pb) INDIA

ComplicationComplication• Sixty years old male presented with complain of y y p p

uncontrolled hypertension. Since last 2 ½ years on regular treatment No other medical history ECGregular treatment. No other medical history. ECG revealed NSR and WNL.

Angiography :

•Renal Angiography done it revealed tight osteal

stenosis of right renal artery.

PROCEDURE:• Femoral Approach

G idi C h 6F RDC 1• Guiding Catheter 6F RDC 1• Guide Wire 0.014 Hannibal• Pre-dilatation done• Stent did not cross the lesion by any manoeuvre. • While withdrawing stent back it slipped away fromWhile withdrawing stent back it slipped away from

balloon. Stent being left on wire in aortaR t i l f di l d d t t d ith b ll & i• Retrieval of dislodged stent done with balloons & snair

• Surgical retrieval from femoral siteg

TECHNICAL TIPS AND MESSAGETECHNICAL TIPS AND MESSAGE

• Proper Guide Support and alignment of guide

required.

• Preferably put the guide into Renal Artery while

ithd i dil t ti b ll M ki it iwithdrawing pre-dilatation balloon. Making it easier

for stent crossing and placementfor stent crossing and placement.

• Prefer over the wire 0 018 stent delivery systemPrefer over the wire 0.018 stent delivery system.