Document Detail

Percutaneous transluminal angioplasty of dysplastic stenoses of the renal artery: results on 70 adults.
MedLine Citation:
PMID:  12491013     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Retrospective analysis of the dilatation (PTRA) of renal arterial dysplastic stenosis (RADS). METHODS: Seventy patients suffering from hypertension (87 RADS) were treated at our institution for medial (83%) or non-classified fibrodysplasias (17%). Four patients suffered from renal insufficiency. Two endoprostheses were implanted. We evaluated blood pressure with the USCSRH criteria and renal insufficiency with the Martin criteria. RESULTS: Ninety-five percent technical success and 87.9% clinical success for blood pressure were obtained, with worse results for patients older than 57 years or with a history of hypertension greater than 9 years. Results were better when the RADS was responsible for an ipsilateral renal atrophy or for poorly controlled hypertension. No renal insufficiency worsened during the follow-up. CONCLUSION: PTRA is a first-line treatment for renovascular hypertension caused by RADS. The results were encouraging despite a high average age of the subjects and frequent associated extrarenal vascular lesions.
Bruno de Fraissinette; Jean Marc Garcier; Valérie Dieu; Reza Mofid; Anne Ravel; Jean Yves Boire; Louis Boyer
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Publication Detail:
Type:  Journal Article     Date:  2002-12-20
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  26     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2003-03-18     Completed Date:  2003-07-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  46-51     Citation Subset:  IM    
Radiology Department, University Hospital, BP 69-63003 Clermont-Ferrand, France.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon*
Arterial Occlusive Diseases / complications,  therapy*
Chi-Square Distribution
Hypertension, Renovascular / etiology,  therapy*
Middle Aged
Renal Artery*
Retrospective Studies
Treatment Outcome

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