Document Detail


Renal artery stent placement in renal artery stenosis: technical and early clinical results.
MedLine Citation:
PMID:  9202589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the technical and early clinical results of renal artery stent placement in 29 consecutive patients treated at a single centre over a 30-month period, employing the Palmaz balloon-expandable stent. Of 32 arteries treated, 23 (72%) were atheromatous, ostial stenoses. Immediate technical success was achieved in all 29 patients. Follow-up angiography was performed on 25 patients at 6.7 months (mean) and demonstrated a patient restenosis rate of 16%. All surviving patients were followed up for a minimum of 6 months. Blood pressure control was improved in eight (50%) of hypertensive patients, and renal function improved in seven (33%) and stabilized in six (29%) patients with chronic renal impairment (serum creatinine > 150 mumols/l). Complications occurred in seven (24%) of patients, including one procedure-related death. Our experience indicates that stent placement has an initial high technical success rate in renal artery stenosis and that this patency is maintained at repeat angiography with a low restenosis rate. Renal artery stenting is likely to extend the role of percutaneous renal revascularization especially in atheromatous ostial lesions. A randomized trial will be required to evaluate its role compared with balloon angioplasty.
Authors:
A Taylor; D Sheppard; M J Macleod; P Harden; G M Baxter; R D Edwards; J G Moss
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Clinical radiology     Volume:  52     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-14     Completed Date:  1997-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  451-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, West Glasgow Hospitals University NHS Trust, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Balloon*
Blood Pressure
Female
Follow-Up Studies
Humans
Kidney / physiopathology
Male
Middle Aged
Recurrence
Renal Artery Obstruction / physiopathology,  radiography,  therapy*
Stents* / adverse effects
Survival Rate
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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