Long-Term Prognosis of Renovascular Hypertension : Comparative Study in Operated and Non-operated Patients : Prognosis and Treatment of Renal Hypertension

Takeda, Tadanao

doi:10.1253/jcj.39.767

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…20,27 These results stand in contrast to those published after open surgical renal revascularization. [28][29][30][31][32] Our data suggest that atheroembolization of the kidney during the procedure could contribute to the disappointing results after renal artery angioplasty. Atheroembolic renal disease is a well described entity that can occur spontaneously or can be caused by atherosclerotic debris released by surgical manipulation, vascular interventions with angiographic catheters, or occasionally with the use of anticoagulants and thrombolytic agents.…”

Section: Discussionmentioning

confidence: 99%

Atheroemboli during renal artery angioplasty: An ex vivo study

Hiramoto

Hansen

Pan

et al. 2005

Journal of Vascular Surgery

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Athero-emboli produce a local arteritis in the kidney and could cause substantial damage to the renal parenchyma. This report explores the quantity of athero-emboli released during ex vivo angioplasty and stenting of renal atheroma specimens. The number of emboli found in this ex vivo study suggest that the use of protection devices may be advisable to protect the end organ, as done with angioplasty of the carotid artery. Of necessity, this was an ex vivo study and direct application to the clinical setting will need further study. Fortunately, multi-center trials examining the value of protection devices are currently in progress.

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