Long-term outcome of stenting for atherosclerotic renal artery stenosis and the effect of angiographic restenosis

Zachrisson, Karin; Elverfors, Sven; Jensen, Gert; Hellström, Mikael; Svensson, Mikael; Herlitz, Hans; Falkenberg, Mårten

doi:10.1177/0284185118764209

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Independent predicting factors for this outcome included age (OR 1.1; 95% CI 1.0–1.2; p = 0.01), male sex (OR 7.9; 95% CI 1.9–43.5; p = 0.008), post-stenting CKD class 3b-5 (OR 5.8; 95% CI 1.5–27.9; p = 0.01), and post-revascularization uncontrolled hypertension (OR 8.9; 95% CI 1.7–63.5; p = 0.01), irrespective of the presence of diabetes and CAD. In an analogous group, Zachrisson et al reported a mortality rate of 60% with a median follow-up of 11 years and 7 months [ 50 ]. The KORONEF study further confirmed the significantly worse prognosis in patients with CKD, necessitating close monitoring.…”

Section: Discussionmentioning

confidence: 99%

Ten-Year Outcomes in Patients Undergoing Simultaneous Coronary and Renal Angiography—Does Renal Artery Stenosis Matter?

Kern,

Stompór,

Bojko

et al. 2024

JCM

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Background: We aimed to characterize the population of consecutive patients undergoing coronary angiography with simultaneous renal artery angiography and assess prognostic factors at a 10 year follow-up. Methods: The KORONEF study was a prospective, single-center, observational, and descriptive study with 492 patients included. We analyzed several baseline demographics, clinical and periprocedural characteristics, and laboratory data, and we assessed the results of coronary angiography and renal artery angiography. Results: The study population consisted of 37.2% women, and the mean age was 64.4 ± 9.9 years (min. 30 years, max. 89 years). Angiography revealed significant renal artery stenosis (RAS) in 35 (7.1%) patients. Among patients with significant RAS (≥50%), we observed more women (57.1% vs. 35.7%, p = 0.011), and patients were older (69.1 ± 10.4 years vs. 64.0 ± 9.7 years, p = 0.005). In the whole population, all-cause death was reported in 29.9% of patients, myocardial infarction (MI) rate—in 11.8%, and stroke—in 4.9%. In the multivariable analysis, independent predictors of death were age 65–75 years (HR 2.88), age > 75 years (HR 8.07), diabetes (HR 1.59), previous MI (HR 1.64), chronic kidney disease (HR 2.22), unstable angina (HR 0.37), and left ventricular ejection fraction > 60% (HR 0.43). Conclusions: Over a 10 year follow-up, the all-cause death rate was 29.9%, showing no statistically significant differences between patients with and without significant RAS.

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Section: Discussionmentioning

confidence: 99%

Ten-Year Outcomes in Patients Undergoing Simultaneous Coronary and Renal Angiography—Does Renal Artery Stenosis Matter?

Kern,

Stompór,

Bojko

et al. 2024

JCM

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In-hospital results of renal artery stenting in patients with multifocal atherosclerosis

Burkov

Lider

Шабаев

et al. 2020

Khir. Z. im. N.I. Pirogova

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Long-term outcome of stenting for atherosclerotic renal artery stenosis and the effect of angiographic restenosis

Abstract: Long-term prognosis after PTRA for atherosclerotic RAS is dismal, with high mortality and morbidity and reduced renal function, despite maintained hypertension control. Restenosis does not appear to affect late outcome.

Cited by 2 publications

References 27 publications

Ten-Year Outcomes in Patients Undergoing Simultaneous Coronary and Renal Angiography—Does Renal Artery Stenosis Matter?

Ten-Year Outcomes in Patients Undergoing Simultaneous Coronary and Renal Angiography—Does Renal Artery Stenosis Matter?

In-hospital results of renal artery stenting in patients with multifocal atherosclerosis

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