Document Detail


Stenoses of renal branch arteries in fibromuscular dysplasia: results of percutaneous transluminal angioplasty.
MedLine Citation:
PMID:  8090896     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate percutaneous transluminal renal angioplasty (PTRA) in the treatment of renal branch artery stenoses caused by fibromuscular dysplasia. MATERIALS AND METHODS: The authors retrospectively studied the files of 20 consecutive hypertensive patients with 25 branch artery stenoses associated with 10 main renal artery lesions. Results at clinical and angiographic follow-up were assessed by means of life-table analysis. RESULTS: PTRA was technically successful in 21 of the 25 renal branch artery stenoses (84%). One of the technical failures was treated by means of selective embolization. Nine of the 10 associated main renal artery lesions were successfully dilated, and the 10th was improved. Immediately after PTRA, at 6-month follow-up, and at long-term follow-up, 70%, 76%, and 68% of the patients, respectively, were cured and 25%, 24%, and 16% were improved. Stenosis recurred in 9% of the branch arteries and was associated with clinical relapse; these arteries were redilated, and all patients were considered cured at the second 6-month follow-up. CONCLUSION: PTRA should be considered the first-line treatment for hypertension due to renal branch artery stenosis in fibromuscular disease.
Authors:
P Cluzel; A Raynaud; B Beyssen; J Y Pagny; J C Gaux
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  193     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-10-17     Completed Date:  1994-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  227-32     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Radiology, Hôpital Broussais, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angioplasty, Balloon*
Female
Fibromuscular Dysplasia / epidemiology,  radiography,  therapy*
Follow-Up Studies
Humans
Hypertension, Renovascular / epidemiology,  prevention & control*
Life Tables
Male
Recurrence
Renal Artery Obstruction / epidemiology,  radiography,  therapy*
Retrospective Studies
Time Factors
Treatment Outcome
Comments/Corrections
Comment In:
Radiology. 1994 Oct;193(1):19-21   [PMID:  8090891 ]

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


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