Endovascular management of atherosclerotic renovascular disease: early results following primary intervention

Journal of Vascular Surgery
Matthew A CorriereKimberley J Hansen

Abstract

This retrospective review examines periprocedural morbidity and early functional responses to primary renal artery angioplasty and stenting (RA-PTAS) for patients with atherosclerotic renovascular disease (RVD). Consecutive patients undergoing primary RA-PTAS for hemodynamically significant atherosclerotic RVD with hypertension and/or ischemic nephropathy were identified from a prospectively maintained registry. Hypertension responses were determined based on pre- and post-intervention blood pressure measurements and medication requirements. Estimated glomerular filtration rate (eGFR) was used to determine renal function responses. Both hypertension and renal function responses were assessed at least three weeks after RA-PTAS. Stepwise multivariable regression analysis was used to examine associations between blood pressure and renal function responses to RA-PTAS and select clinical variables. One-hundred ten primary RA-PTAS were performed on 99 patients with atherosclerotic RVD with a mean angiographic diameter-reducing stenosis of 79.2 +/- 12.9%. All patients had hypertension (mean of 3.4 +/- 1.3 antihypertensive agents). Mean pre-intervention eGFR was 49.9 +/- 22.7 mL/min/1.73 m(2), and 74 patients had a pre-intervention eGF...Continue Reading

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Citations

Feb 4, 2010·Annals of Vascular Surgery·Michelle C MartinMarc L Schermerhorn
Apr 1, 2010·Nephrology·Matthew RobertsUNKNOWN CARI
May 26, 2015·Journal of Vascular Surgery·Albeir Y MousaMark Bates
Jul 15, 2009·Journal of Vascular Surgery·Matthew S Edwards, Matthew A Corriere
Oct 23, 2012·Journal of Vascular Surgery·Jason W ChristieKimberley J Hansen
Nov 27, 2009·Journal of Vascular Surgery·Adam W BeckJack L Cronenwett
Feb 10, 2010·Journal of Vascular Surgery·Keith D Calligaro
Mar 31, 2015·Techniques in Vascular and Interventional Radiology·Luke R Wilkins, James R Stone
Jul 15, 2009·Journal of Vascular Surgery·Matthew A CorriereKimberley J Hansen
Jun 30, 2012·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Yincent TseKjell Tullus

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