Outcomes and Efficacy of Percutaneous Transluminal Renal Artery Angioplasty with Stent in Patients with Atherosclerotic Renal Artery Stenosis
Journal Title: E Journal of Cardiovascular Medicine - Year 2020, Vol 8, Issue 3
Abstract
Objectives: Renal artery stenosis is the most common cause of secondary hypertension. The aim of this study is to evaluate the outcomes of percutaneous transluminal renal artery angioplasty and stenting (PTRAS) procedure for atherosclerotic renal artery stenosis (ARAS) which is the most common cause of secondary hypertension. Materials and Methods: This retrospective chart review included 27 patients who had PTRAS procedure from 2012 to 2017. This procedure was performed to patients with ARAS whose luminal narrowing was ≥70%. Successful intervention was accepted when the residual stenosis was <20%. Results: The mean age of 27 patients with ARAS was 71.4±11.1 years, and 55.6% were male. Most common indication for renal angiography was uncontrolled hypertension (85.2%). PTRAS was indicated due to hypertension resistant to medical treatment in 92.6% of the patients. About 96.3% of the cases had hypertension. Renal artery stenosis was present on the right in 23 patients (85.2%) and on the left in 20 patients (74.1%). Bilateral renal artery stenosis was diagnosed in 16 patients (59.3%). Predilatation was performed in nine cases (33.3%) with right stenosis and in 10 cases (37%) with left stenosis, and direct stenting was applied in seven (25.9%) and six (22.2%) of cases, respectively. The overall mortality rate was 22.2% during 5-year follow ups. No other major events were noted. Conclusion: PTRAS is associated with improved blood pressure control, renal functions, and survival, and it can be performed with high success and low complication rates. Nevertheless, each patient should be evaluated individually for the risks and benefits.
Authors and Affiliations
Nuri Köse, Tarık Yıldırım
Keywords
Related Articles
- EP ID EP688637
- DOI 10.32596/ejcm.galenos.2020.11.057
- Views 121
- Downloads 0
Successfully Managed Carotid Endarterectomy with Shunting Under Ultrasound Guided Carotid Sheath Block Combined with Superficial Cervical Plexus Block
Carotid endarterectomy (CEA) is the best treatment option in patients with high grade carotid artery stenosis. The assessment of patient’s consciousness in awake patient is still the gold standard for cerebral functions....
Karabulut B. Oral Patent Ductus Arterıosus in Early Term Infants: Need Treatment?
No summary.
Outcomes and Efficacy of Percutaneous Transluminal Renal Artery Angioplasty with Stent in Patients with Atherosclerotic Renal Artery Stenosis
Objectives: Renal artery stenosis is the most common cause of secondary hypertension. The aim of this study is to evaluate the outcomes of percutaneous transluminal renal artery angioplasty and stenting (PTRAS) procedure...
The Relationship Between Coronary Collateral Circulation and Visceral Fat
Objectives: Collateral circulation is assumed to prevent myocardial ischemia in healthy subjects and in patients with coronary artery disease. Visceral adipose tissue is an active component of total body fat, which holds...
The Relation Between Thyroid Stimulating Hormone and Left Ventricular Strain Parameters in Patients with Subclinical Hypothyroidism
Objectives: In this study, it was aimed to evaluate the relationship between serum thyroid stimulating hormone (TSH) level and left ventricular strain parameters measured by the two-dimensional speckle tracking imaging a...