Renal artery stenosis in chronic renal failure: Caution is advised for percutaneous revascularization

Wierema, Thomas K.A.; Yaqoob, Mohammed

doi:10.1016/j.ejim.2007.06.023

Cited by 11 publications

(10 citation statements)

References 14 publications

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“…666 Others advise caution in performing percutaneous revascularization in patients with CKD. 667 Early acute functional renal injury related to renal interventions in patients with atherosclerotic RAS was analyzed in a prospective study of patients who averaged Ͼ70 years of age. 668 Indications for the procedure were poorly controlled hypertension, associated CKD (creatinine Ͼ1.5 mg/dL), diabetes mellitus, and hyperlipidemia.…”

Section: Percutaneous Renal Artery Stentingmentioning

confidence: 99%

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

et al. 2011

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Section: Percutaneous Renal Artery Stentingmentioning

confidence: 99%

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

et al. 2011

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“…Some suggest that stenting for atherosclerotic RAS can stabilize declining kidney function; however, for patients with stable renal function, the benefit is less clear (666). Others advise caution in performing percutaneous revascularization in patients with CKD (667).…”

Section: Diabetes Mellitusmentioning

confidence: 99%

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

Aronow¹,

Fleg²,

Pepine³

et al. 2011

Journal of the American College of Cardiology

407

146

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“…In the case reports, 12 patients experienced no further symptoms after PTRA, two patients had one more episode, one patient had two episodes of flash oedema, and in five patients this was not described ( Table ). In the case series and cohort studies,,,– 42 patients showed no recurrent flash oedema after revascularization, three patients suffered from one episode, seven patients experienced at least one episode of flash oedema, and four subjects reported ‘relief of symptoms’.…”

Section: Resultsmentioning

confidence: 99%

“…We included 19 case reports– and six single‐centre case series,,– and retrospective studies. We excluded one patient described by Pun et al .…”

Section: Resultsmentioning

confidence: 99%

The efficacy of renal angioplasty in patients with renal artery stenosis and flash oedema or congestive heart failure: a systematic review

Berg¹,

Deinum²,

Postma³

et al. 2012

European J of Heart Fail

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AimsRecent randomized controlled trials have reported that angioplasty does not have a beneficial effect compared with pharmacological treatment on blood pressure and renal function in patients with atherosclerotic renal artery stenosis (RAS). We aimed to explore systematically the evidence that angioplasty is effective in subgroups of patients with RAS and either flash pulmonary oedema or congestive heart failure (CHF) and renal insufficiency. Methods and resultsWe searched online databases (PubMed and ClinicalTrials.gov) and references of included articles. We included 25 articles describing 79 patients with RAS and flash oedema and seven articles describing 94 patients with RAS, CHF, and renal insufficiency. According to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, the quality of the evidence was, at best, low. Seventy-six per cent of patients with flash oedema did not have any recurrence after angioplasty. Recurrence of symptoms was associated with either restenosis of the renal artery or cardiac arrhythmias in all patients. In the patients with CHF and renal insufficiency, the severity of heart failure symptoms, expressed as New York Heart Association (NYHA) functional class, improved after angioplasty in all included articles. ConclusionThe evidence included in this systematic review justifies a weak recommendation in favour of angioplasty in patients with atherosclerotic RAS and either flash pulmonary oedema or CHF and renal insufficiency.--

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Renal artery stenosis in chronic renal failure: Caution is advised for percutaneous revascularization

Cited by 11 publications

References 14 publications

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly

The efficacy of renal angioplasty in patients with renal artery stenosis and flash oedema or congestive heart failure: a systematic review

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