1 / 9

History & Physical

History & Physical. 74 yo male recently c/o vague abd pain to PMD and underwent CT abd. This was suggestive of L renal artery stenosis and outside MRA obtained which confirmed this. No recent change in BP meds or other medical problems. Otherwise asymptomatic

karleigh-peck
Download Presentation

History & Physical

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. History & Physical • 74 yo male recently c/o vague abd pain to PMD and underwent CT abd. This was suggestive of L renal artery stenosis and outside MRA obtained which confirmed this. No recent change in BP meds or other medical problems. Otherwise asymptomatic • PMH: HTN, CAD s/p CABGx3 in ‘99, type II DM, asthma, • Meds: diovan, lotensin, diltiazem • Exam: palpable distal pulses, no abdominal bruits • Duplex: R kidney 10.7cm, L kidney 11.9 cm, origin PSV 1.99m/s, mid L renal PSV 4.49m/s and EDV 2.06m/s, abnormal acceleration times in subsegmental branches • Labs: Creat=1.0

  2. SOS-omni catheter to select L renal

  3. 5F glide cath over angled glidewire

  4. 6F RDC guiding sheath

  5. BMW 0.014” wire

  6. 4x2 balloon Post-balloon: residual stenosis

  7. 6x20 balloon expandable stent

  8. Proximal edge of stent

  9. Final Run

More Related