Literature DB >> 23207915

Percutaneous renal artery angioplasty and stenting: indications, technique and results.

H K Kok1, S Leong, P Govender, R Browne, W C Torreggiani.   

Abstract

BACKGROUND: Percutaneous interventions for renal arterial disease can be used to treat a variety of conditions including both atherosclerotic and non-atherosclerotic renal artery stenosis (RAS) as well as endovascular management of renal artery aneurysms (RAA). AIM: We sought to examine the indications, techniques and results of percutaneous renal angioplasty and stenting in our institution over a 6-year period and review the current evidence for practice.
METHODS: Patient demographics, procedure indications, technical procedural details, complications, baseline and follow-up renal profile indices were analysed.
RESULTS: The most common indication for intervention was atherosclerotic RAS (69.2%) followed by RAS secondary to fibromuscular dysplasia (15.3%) and RAA (15.3%). There was a 100% technical success in our cohort of patients. The majority of patients (84.6%) had cross-sectional imaging in the form of computed tomography or magnetic resonance angiography prior to intervention.
CONCLUSION: When performed in appropriate settings following close liaison with referring physicians, percutaneous renal angioplasty and stenting remains an important treatment modality for renovascular disease.

Entities:  

Mesh:

Year:  2012        PMID: 23207915     DOI: 10.1007/s11845-012-0887-5

Source DB:  PubMed          Journal:  Ir J Med Sci        ISSN: 0021-1265            Impact factor:   1.568


  20 in total

Review 1.  Fibromuscular dysplasia.

Authors:  David P Slovut; Jeffrey W Olin
Journal:  N Engl J Med       Date:  2004-04-29       Impact factor: 91.245

2.  The Cardiovascular Outcomes with Renal Atherosclerotic Lesions (CORAL) study: rationale and methods.

Authors:  Timothy P Murphy; Christopher J Cooper; Lance D Dworkin; William L Henrich; John H Rundback; Alan H Matsumoto; Kenneth A Jamerson; Ralph B D'Agostino
Journal:  J Vasc Interv Radiol       Date:  2005-10       Impact factor: 3.464

3.  The effect of balloon angioplasty on hypertension in atherosclerotic renal-artery stenosis. Dutch Renal Artery Stenosis Intervention Cooperative Study Group.

Authors:  B C van Jaarsveld; P Krijnen; H Pieterman; F H Derkx; J Deinum; C T Postma; A Dees; A J Woittiez; A K Bartelink; A J Man in 't Veld; M A Schalekamp
Journal:  N Engl J Med       Date:  2000-04-06       Impact factor: 91.245

Review 4.  Diagnosis, management, and future developments of fibromuscular dysplasia.

Authors:  Jeffrey W Olin; Brett A Sealove
Journal:  J Vasc Surg       Date:  2011-01-13       Impact factor: 4.268

5.  Stent revascularization for the prevention of cardiovascular and renal events among patients with renal artery stenosis and systolic hypertension: rationale and design of the CORAL trial.

Authors:  Christopher J Cooper; Timothy P Murphy; Alan Matsumoto; Michael Steffes; David J Cohen; Michael Jaff; Richard Kuntz; Kenneth Jamerson; Diane Reid; Kenneth Rosenfield; John Rundback; Ralph D'Agostino; William Henrich; Lance Dworkin
Journal:  Am Heart J       Date:  2006-07       Impact factor: 4.749

6.  Autotransplantation of solitary kidney with renal artery aneurysm treated with laparoscopic nephrectomy and ex vivo repair: a case report.

Authors:  C S Desai; R Maybury; L S Cummings; L B Johnson; T M Fishbein; R Neville; J K Melancon
Journal:  Transplant Proc       Date:  2011-09       Impact factor: 1.066

7.  Wide-necked renal artery aneurysm: endovascular treatment with stent-graft.

Authors:  Sinan Sahin; Müfid Okbay; Bayer Cinar; Nail Uzunlulu
Journal:  Diagn Interv Radiol       Date:  2007-03       Impact factor: 2.630

8.  Endoluminal stent-graft repair of a renal artery aneurysm.

Authors:  Michael Bruce; Yew-Ming Kuan
Journal:  J Endovasc Ther       Date:  2002-06       Impact factor: 3.487

9.  Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial.

Authors:  Liesbeth Bax; Arend-Jan J Woittiez; Hans J Kouwenberg; Willem P T M Mali; Erik Buskens; Frederik J A Beek; Branko Braam; Frans T M Huysmans; Leo J Schultze Kool; Matthieu J C M Rutten; Cornelius J Doorenbos; Johannes C N M Aarts; Ton J Rabelink; Pierre-François Plouin; Alain Raynaud; Gert A van Montfrans; Jim A Reekers; Anton H van den Meiracker; Peter M T Pattynama; Peter J G van de Ven; Dammis Vroegindeweij; Abraham A Kroon; Michiel W de Haan; Cornelis T Postma; Jaap J Beutler
Journal:  Ann Intern Med       Date:  2009-05-04       Impact factor: 25.391

10.  Percutaneous revascularization of the renal arteries offers no evidence of clinical benefit in patients with atherosclerotic renal artery stenosis--the ASTRAL trial.

Authors:  Michael J Bloch; Jan N Basile
Journal:  J Clin Hypertens (Greenwich)       Date:  2010-04       Impact factor: 3.738

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