PMID: 8611321Jan 1, 1996Paper

Long-term results of percutaneous transluminal angioplasty in renovascular hypertension

Acta Radiologica
J von KnorringM Lepäntalo

Abstract

The long-term effect of percutaneous transluminal renal angioplasty (PTRA) was assessed in 50 patients with renovascular hypertension. Thirty-eight of the patients had atherosclerotic disease and 12 patients fibromuscular dysplasia (FMD). Dilatation with a balloon catheter were performed at 6 to 8 atm for 15 to 30 s. PTRA was technically successful in 46 (92%) patients. Three of the failures underwent surgical revascularization. There was no mortality connected with PTRA. Minor complications occurred in 6 (12%) patients, and surgical intervention was required in 1. In 4 patients with restenosis, repeated PTRA was performed in 2, and surgery in the other 2 patients. Bilateral disease occurred in 12 patients, and 3 had sequential bilateral PTRA. In 9 patients with atherosclerotic ostial stenosis, PTRA was technically successful in 8 (89%). Thirty-eight patients were re-examined with a mean follow-up of 4 years. At follow-up, 5 (45%) of the patients with FMD were classified as cured, 6 (55%) as improved, and none as failed. In the 27 patients with atherosclerotic disease, 23 (85%) had long-term benefit, 3 (11%) were cured, 20 (74%) were improved, and 4 (15%) were failures. In the 8 patients with ostial atherosclerotic lesions and ...Continue Reading

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Citations

Oct 12, 2011·Expert Review of Cardiovascular Therapy·Ronan MargeyMichael R Jaff
Sep 23, 2008·Advances in Chronic Kidney Disease·Thomas J KiernanMichael R Jaff
Jul 7, 1999·Journal of Vascular and Interventional Radiology : JVIR·C R Rees
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May 9, 2007·Current Treatment Options in Cardiovascular Medicine·Thomas Zeller

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