Factors Associated with Outcomes of Percutaneous Transluminal Renal Angioplasty in Patients with Renal Artery Stenosis: A Retrospective Analysis of 50 Consecutive Cases

المؤلفون المشاركون

Ohya, Yusuke
Matayoshi, Tetsutaro
Fukuda, Tetsuya
Horio, Takeshi
Iwashima, Yoshio
Yoshihara, Fumiki
Nakamura, Satoko
Nakahama, Hajime
Kawano, Yuhei
Tanaka, Ryoichi
Kamide, Kei

المصدر

International Journal of Hypertension

العدد

المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2018-01-04

دولة النشر

مصر

عدد الصفحات

8

التخصصات الرئيسية

الأمراض
الطب البشري

الملخص EN

Background.

The results of recent trials have brought some confusion to the treatment strategy for renal artery stenosis (RAS).

To evaluate the applicability of percutaneous transluminal renal angioplasty (PTRA) for RAS, we extracted the factors that may affect the effectiveness of PTRA from cases experienced at a hypertension center.

Methods and Results.

We retrospectively assessed the blood pressure (BP) lowering effects and renoprotective effects in 50 consecutive patients that had hemodynamically significant RAS and had undergone PTRA and stenting during 2001–2005.

Subjects were diagnosed with atherosclerotic RAS (42), fibromuscular dysplasia (6), or Takayasu disease (2).

After PTRA, BP significantly lowered from 152.3/80.3 mmHg to 132.6/73.2 mmHg (p<0.05), but the estimated glomerular filtration rate (eGFR) did not change significantly.

There were no factors associated with the BP lowering effects of PTRA.

The baseline resistive index (RI) was negatively correlated with the change in eGFR (p<0.05).

After correction for age, sex, BMI, and the dose of contrast medium, the association of RI with change in eGFR remained significant.

Conclusion.

In cases with hemodynamically significant RAS, PTRA lowered BP but was not effective in improving renal function.

Higher baseline RI may be a factor for predicting poor clinical course of renal function after PTRA.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Matayoshi, Tetsutaro& Kamide, Kei& Tanaka, Ryoichi& Fukuda, Tetsuya& Horio, Takeshi& Iwashima, Yoshio…[et al.]. 2018. Factors Associated with Outcomes of Percutaneous Transluminal Renal Angioplasty in Patients with Renal Artery Stenosis: A Retrospective Analysis of 50 Consecutive Cases. International Journal of Hypertension،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1173110

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Matayoshi, Tetsutaro…[et al.]. Factors Associated with Outcomes of Percutaneous Transluminal Renal Angioplasty in Patients with Renal Artery Stenosis: A Retrospective Analysis of 50 Consecutive Cases. International Journal of Hypertension No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1173110

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Matayoshi, Tetsutaro& Kamide, Kei& Tanaka, Ryoichi& Fukuda, Tetsuya& Horio, Takeshi& Iwashima, Yoshio…[et al.]. Factors Associated with Outcomes of Percutaneous Transluminal Renal Angioplasty in Patients with Renal Artery Stenosis: A Retrospective Analysis of 50 Consecutive Cases. International Journal of Hypertension. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1173110

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1173110