Factors Associated with Outcomes of Percutaneous Transluminal Renal Angioplasty in Patients with Renal Artery Stenosis: A Retrospective Analysis of 50 Consecutive Cases
Joint Authors
Ohya, Yusuke
Matayoshi, Tetsutaro
Fukuda, Tetsuya
Horio, Takeshi
Iwashima, Yoshio
Yoshihara, Fumiki
Nakamura, Satoko
Nakahama, Hajime
Kawano, Yuhei
Tanaka, Ryoichi
Kamide, Kei
Source
International Journal of Hypertension
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-04
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173110