Revascularisation for a poorly functioning solitary kidney

Shifrin, Edward G.; Witz, Misha; Morag, B

doi:10.1016/s0950-821x(05)80174-4

Cited by 10 publications

(2 citation statements)

References 9 publications

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“…Previous small case series have reported a substantial fall in blood pressure and an improvement in renal function after successful revascularisation in patients with stenosis to a solitary kidney 26,27 . Sutters et al reported a patient with stenosis in a single functioning kidney who developed a large diuresis and postural hypotension after a technically successful angioplasty 28 .…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Transluminal Renal Artery Angioplasty: Who Benefits Most?

Ziakka

et al. 2002

Int J Clinical Practice

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SUMMARYWe set out to assess the long‐term benefits of renal percutaneous transluminal angioplasty (PTA) in 107 consecutive hypertensive patients with atheromatous renal artery stenosis. During 12‐month follow‐up, blood pressure fell to normal levels in 10 (8.8%) patients and improved in 76 (67.3%); renal function improved or remained stable in 74% of patients. In patients with atheromatous disease, renal angioplasty was most successful in those with stenosis in a single functioning kidney, and in nine patients who presented with symptoms and signs of heart failure, in the absence of overt ischaemic or valvular heart disease. In the latter group, renal PTA resulted in a large loss of sodium and water, resolution of the ‘apparent’ heart failure, and a marked improvement in blood pressure and renal function. It is suggested that all hypertensive patients with haemodynamically significant renal artery stenosis (and/or mild to moderate impairment in renal function), should be considered for renal PTA. Patients with atheromatous stenosis in a single functioning kidney, and those who present with signs of sodium and water retention, are likely to benefit most.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Transluminal Renal Artery Angioplasty: Who Benefits Most?

Ziakka

et al. 2002

Int J Clinical Practice

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“…In a small number of patients with renal impairment, PTRA was shown to provide significant improvement in renal function. 41…”

Section: Effect On Renal Functionmentioning

confidence: 99%

Endovascular Treatment of Renal Artery Stenosis

et al. 2001

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Significant changes have occurred in the treatment of renal artery disease over the past few years. Although excellent clinical results can be obtained with surgery, percutaneous transluminal renal angioplasty has proved similarly efficacious and is now the treatment of choice for nonostial atherosclerotic stenoses and fibromuscular dysplasia. The introduction of stents has become a valuable adjunctive therapy for postangioplasty restenosis and dissection.

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The Role of Bench Surgery in the Treatment of Renal Artery Stenoses and Aneurysms Caused by Fibromuscular Dysplasia

Brekke¹,

Lien²

1997

Extracorporeal Renal Surgery and Autotransplantation

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Revascularisation for a poorly functioning solitary kidney

Cited by 10 publications

References 9 publications

Percutaneous Transluminal Renal Artery Angioplasty: Who Benefits Most?

Percutaneous Transluminal Renal Artery Angioplasty: Who Benefits Most?

Endovascular Treatment of Renal Artery Stenosis

The Role of Bench Surgery in the Treatment of Renal Artery Stenoses and Aneurysms Caused by Fibromuscular Dysplasia

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