Stenosing Lesions of the Renal Arteries

Maxwell, Morton H.; Kaufman, Joseph J.; Bleifer, Kenneth H.

doi:10.1080/00325481.1966.11695938

Cited by 10 publications

(2 citation statements)

References 6 publications

(4 reference statements)

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“…To evaluate the results of PTRA the criteria of the Cooperative Study of Renovascular Hypertension were used (33). The technical results of PTRA depend upon the stenosis characteristics (29), chiefly the etiology, our best results being the treatment of fibromuscular hyperplasia which was similar to other authors (14,15,19,25,31,(35)(36)(37)(38).…”

Section: Discussionsupporting

confidence: 69%

Percutaneous transluminal angioplasty in the treatment of renovascular hypertension: sequential prospective study

et al. 1998

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Objective: to evaluate the use of percutaneous transluminal renal angioplasty (PTRA) in the treatment of renal vascular hypertension. Design: sequential prospective PTRA treatment of severe arterial hypertension, screening by the captopril test, confirmed by renal arteriography, and the result evaluated by post-PTRA arteriography, blood pressure measurement and renal function. Site: Vascular Surgery, angioradiology sector, and Nephrology outpatients department of the Federal University of Sao Paulo -Paulista School of Medicine, Sao Paulo, Brazil, a tertiary health-care institution. Participants: PTRA was employed on 32 patients screened by clinical examination, captopril test and renal arteriography. Evaluation: PTRA results were evaluated by the criteria of the Cooperative Study of Renovascular Hypertension. Results: after PTRA the completion arteriography showed no renal stenosis in 24 patients (75residual stenosis (20-50%) in 3 (9.4%) and no change in 5 (15.6%). The blood pressure results were: 3 patients (9.4%) were cured, 24 (75%) improved and 5 (15.6%) were unchanged. We observed normal renal function before and after PTRA in 25 patients (78%); altered pre-and improved post-PTRA in 2 (6.3%); post-PTRA remained unaltered in 2 (6.3%); and altered pre-and worsened post-PTRA in 3 (9.4%). Recurrence of stenosis occurred in one patient after 8 months. Conclusions: PTRA is a convenient procedure, relatively safe and an effective complementary method of medical therapy for controlling renovascular hypertension.

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Section: Discussionsupporting

confidence: 69%

Percutaneous transluminal angioplasty in the treatment of renovascular hypertension: sequential prospective study

et al. 1998

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“…The dominance of the female gender in our mate rial probably explains the dominance of right-sided lesions [4,5] and of fibromuscu lar dysplasia [6,7], The large number of pa tients with fibromuscular dysplasia reflects the status of the department as a referral center.…”

Section: Renovascular Diseasementioning

confidence: 99%

Arterial Surgery and Angioplasty in Patients Under 40 Years of Age: A Retrospective Study

Brunkwall¹,

Weibull²,

Bergqvist³

et al. 1989

Med Princ Pract

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Seventy-nine patients (35 male, 44 female) under 40 years of age who had undergone arterial surgery or percutaneous transluminal angioplasty (PTA), except for trauma and thromboembolism, were retrospectively analyzed for risk factors, types of intervention and outcome. Of those patients with renovascular disease (n = 45), fibromuscular dysplasia dominated (71%). Thirty-seven patients had primary reconstruction, 7 had percutaneous transluminal renal angioplasty (PTRA) and 1 had a nephrectomy. There was no postoperative mortality within 30 days. One patient died, 3 had nephrectomies later, and 1 had a pole resection during follow-up. At the end of the follow-up, 38 (84%) patients, including 1 with primary nephrectomy, were cured or improved in regard to hypertension, and 7 (16%) did not improve. Of patients with peripheral vascular disease (n = 34), atherosclerosis dominated. There was 1 postoperative death and 1 amputation within 30 days. Because of progressive disease there were 2 late deaths, 3 amputations, 3 repeat procedures, 4 other vascular reconstructions and three cardiocerebrovascular events. With an active and aggressive approach in patients with renovascular disease, the outcome is good. Peripheral arterial surgery in patients under 40 years has a less favorable outcome, probably due to more generalized disease.

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Clinical Characteristics of Renovascular Hypertension

Simon¹

1972

JAMA

240

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Stenosing Lesions of the Renal Arteries

Cited by 10 publications

References 6 publications

Percutaneous transluminal angioplasty in the treatment of renovascular hypertension: sequential prospective study

Percutaneous transluminal angioplasty in the treatment of renovascular hypertension: sequential prospective study

Arterial Surgery and Angioplasty in Patients Under 40 Years of Age: A Retrospective Study

Clinical Characteristics of Renovascular Hypertension

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