Modification of the No-Touch Technique during Renal Artery Stenting. (29th May 2013)

• Record Type: Journal Article
• Authors: Stathopoulos, John A.
• Other Names: Brooke B. S. Academic Editor.; Espinola-Zavaleta N. Academic Editor.; Masotti L. Academic Editor.; Minar E. Academic Editor.; Papanas N. Academic Editor.
• Is Part Of: Case reports in vascular medicine. Volume 2013(2013)
• Publication Date: 2013-05-29
• Subjects: Peripheral vascular diseases -- Periodicals; 616.13005
• DOI: 10.1155/2013/516267
• Languages: English
• ISSNs: 2090-6986

Abstract

Abstract : Renal artery stenting has been established as the primary form of renal artery stenosis revascularization procedure. The no-touch technique is proposed in order to avoid renal artery injury and atheroembolism during renal artery stenting. We describe a modification of the no-touch technique by using an over-the-wire (OTW) balloon or a Quickcross 0.014 ′′ catheter with a 0.014 ′′ coronary wire inside, instead of the rigid 0.035 ′′ J wire. The reported technique, while it prevents direct contact of the guiding catheter with the aortic wall, at the same time it allows for a closer contact with the renal arterial ostium and a more favorable guiding catheter orientation, compared to what is achieved with the use of the more rigid 0.035 ′′ J wire, thus improving visualization, reducing the amount of contrast required, and potentially decreasing complications.