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Case Reports in Vascular Medicine
Volume 2017, Article ID 1742058, 3 pages
Case Report

A Novel Technique of Stenting of the Renal Artery In-Stent Restenosis with GuideLiner® through Radial Approach

1Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA
2Sanford Cardiovascular Institute, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA

Correspondence should be addressed to Maheedhar Gedela; moc.liamg@aledegrahdeeham

Received 22 March 2017; Accepted 16 May 2017; Published 4 June 2017

Academic Editor: Hiroyuki Nakajima

Copyright © 2017 Maheedhar Gedela et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


In-stent restenosis of the renal arteries is relatively common and its management is not well studied. An 83-year-old female with bilateral renal artery stenosis and balloon angioplasty and stenting bilaterally one year ago was found to have recurrent severe elevations in the blood pressure despite medical management. Renal artery duplex showed 60–99% stenosis of the right renal artery and 20–59% stenosis of the left renal artery. A subsequent angiography of the right renal artery revealed 80% in-stent restenosis at the ostium. We describe a new approach of balloon angioplasty and stenting through radial access site with the assistance of a GuideLiner in a complex in-stent restenosis of the renal artery.