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Preventive Stent Placement for Renal Artery Stenosis Prior to Emergent Coronary Artery Bypass Grafting

By Antonio E. Martin-ucar and Ramesh L. Patel


l l Purpose: To illustrate the benefits of treating severe renal artery stenosis in renally com-promised patients prior to surgery for coronary artery disease. Case Report: A 63-year-old woman with unstable angina, severe coronary artery disease, and long-term severe renal impairment with a single functioning kidney underwent renal stent placement for high-grade renal artery stenosis prior to coronary artery surgery. The procedure improved her serum creatinine from 528 mmol/L at baseline to 385 mmol/L, and she subsequently underwent coronary artery bypass grafting without deterioration in her renal function. At 1 year, the patient has a serum creatinine of 400 mmol/L, and there is no evidence of in-stent stenosis. Conclusions: Percutaneous renal angioplasty or stenting prior to coronary surgery in pa-tients with concomitant renal and coronary artery disease may reduce perioperative renal deterioration in this specific group of patients. J Endovasc Ther 2002;9:218–220 Key words: renal failure, coronary artery disease, SAXX stent, coronary artery bypas

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Year: 2016
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