No‐touch technique for reducing aortic wall trauma during renal artery stenting

Feldman, Robert L.; Wargovich, Thomas J.; Bittl, John A.

doi:10.1002/(sici)1522-726x(199902)46:2<245::aid-ccd27>3.3.co;2-m

Cited by 17 publications

(19 citation statements)

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“…Special emphasis was placed on wire handling, hand movements, and major errors possible during each step of the procedure using error-based teaching methods. [22][23][24] Each participant also received a written step-by-step protocol for renal artery stenting.…”

Section: Participantsmentioning

confidence: 99%

Skills training after night shift work enables acquisition of endovascular technical skills on a virtual reality simulator

Naughton

Aggarwal

Wang

et al. 2011

Journal of Vascular Surgery

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Section: Participantsmentioning

confidence: 99%

Skills training after night shift work enables acquisition of endovascular technical skills on a virtual reality simulator

Naughton

Aggarwal

Wang

et al. 2011

Journal of Vascular Surgery

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“…The clinical outcome of revascularization has not improved in line with improved technical success, which might be due to new antihypertensive drugs, more potent in controlling renovascular hypertension, resulting in more advanced ARAS and nephrosclerosis before revascularization is considered. Technical developments that might improve outcome include the ''no-touch technique'' (22), MRA imaging pre-PTRA to reduce the procedure time (23), low-profile catheter systems, embolic protection devices (21), covered stents (24), drug-eluting stents (25), and cutting-balloons (26,27). However, a better understanding of the complex renovascular disease with improvement in selection of patients is probably the main factor for improving the outcome of PTRA/PTRS.…”

Section: Discussionmentioning

confidence: 99%

Outcome after endovascular revascularization of atherosclerotic renal artery stenosis

et al. 2009

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Eklo¨f H, Bergqvist D, Ha¨gg A, Nyman R. Outcome after endovascular revascularization of atherosclerotic renal artery stenosis. Acta Radiol 2009;50:256Á264.Background: With an aging population, more patients might be treated for atherosclerotic renal artery stenosis (ARAS). The goal of this treatment is to achieve a dialysisfree life or a well-controlled blood pressure with reduced risks of cardiovascular complications. Purpose: To analyze the clinical outcome of percutaneous transluminal renal artery angioplasty without stenting (PTRA) or with stenting (PTRS) for ARAS at one center. Material and Methods: The study group comprised 152 patients who underwent 203 PTRA/PTRS. All had hypertension, and 45% had azotemia. A retrospective collection of baseline and postprocedural number of antihypertensive drugs, blood pressure, and serum creatinine were analyzed during a follow-up of 3Á18 months. Results: Technical success rate was 95%, and clinical benefit was seen in 63% of patients. Complications included a 30-day mortality rate of 1.5%, a total complication rate of 35%, and major adverse events in 13%. The major adverse events were highly related to azotemia. Major adverse events within 30 days, with permanent disability, were seen in 5% and almost exclusively in patients with moderate or severe renal impairment. A subgroup analysis of 28 patients with renal duplex resistive index (RI) pre-PTRA/S and 6 months' follow-up showed a benefit of PTRA/PTRS in 17 (68%) of the 25 patients with RIB80 and in all three (100%) of the patients with RI ]80. Conclusion: Endovascular treatment of ARAS has an excellent technical success rate, with a clinical improvement rate of 60%. However, it is associated with a considerable complication rate. Serious complications are seen mainly in azotemic patients. Predictors of clinical response could not be identified. Renal duplex RI is questioned as a predictor of clinical outcome.

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“…Beyond the "no touch" technique proposed by Feldman et al, 36 few investigators published their experience with renal angioplasty and stenting under DEP 29,37-39 particularly in patients with unilateral disease. These studies demonstrated the feasibility and safety of the procedure and revealed the beneficial role of DEP, documenting zero or very low rates of renal function impairment (0-3%) after PTRAS.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of protected renal artery primary stenting in the solitary functioning kidney

Klonaris¹,

Katsargyris²,

Alexandrou³

et al. 2008

Journal of Vascular Surgery

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No‐touch technique for reducing aortic wall trauma during renal artery stenting

Cited by 17 publications

References 0 publications

Skills training after night shift work enables acquisition of endovascular technical skills on a virtual reality simulator

Skills training after night shift work enables acquisition of endovascular technical skills on a virtual reality simulator

Outcome after endovascular revascularization of atherosclerotic renal artery stenosis

Efficacy of protected renal artery primary stenting in the solitary functioning kidney

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