The results of treatment in renal artery stenosis due to Takayasu disease: comparison between surgery, angioplasty, and stenting. A monocentrique retrospective study

Kinjo, Hiroshi

doi:10.11138/gchir/2015.36.4.161

Cited by 23 publications

(26 citation statements)

References 22 publications

(19 reference statements)

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“…[27] Restenosis rate of stenting was 12% to 66% in overall arteries, [14,16] and 62.5% in renal artery. [11] Although restenosis rates of stenting and balloon angioplasty were approximately 30% and 15%, respectively, the overall restenosis rate of stenting in TA was not significantly different compared with that of balloon angioplasty in this meta-analysis. As a result, either balloon angioplasty or stenting could be recommended to treat overall stenoses in TA.…”

Section: Discussionmentioning

confidence: 50%

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Endovascular Balloon Angioplasty versus Stenting in Patients With Takayasu Arteritis: A Meta-Analysis

Jeong¹,

Jung²,

Song³

et al. 2018

Journal of Vascular Surgery

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Background: Symptomatic or significant vascular lesions of Takayasu arteritis (TA) need interventions. Although percutaneous transluminal angioplasty with balloon is a less invasive and safe method, stent implantation in TA can be an alternative option. However, superiority between balloon angioplasty and stenting in TA is not conclusive.Methods: A meta-analysis comparing balloon angioplasty and stenting outcomes was performed using the MEDLINE and EMBASE databases.Results: A total of 7 studies on 266 patients and 316 lesions were included. Balloon angioplasty was performed in 186 lesions and stenting in 130 lesions. There were no significant differences in the incidence of both restenosis and other complications between balloon angioplasty and stenting [odds ratio (OR) = 2.39, 95% confidence interval (CI) = 0.66-8.66, P = .18; OR = 1.80, 95% CI = 0.49-6.65, P = .38, respectively]. In the renal arteries, the risk of restenosis in stenting was significantly higher than that in balloon angioplasty (OR = 4.40, 95% CI = 2.14-9.02, P < .001). The clinical efficacy of improving renal hypertension between balloon angioplasty and stenting at the renal artery lesions was similar (OR = 0.65, 95% CI = 0.28-1.51, P = .31); however, acute vascular complications were significantly fewer in stenting than in balloon angioplasty (OR = 0.07, 95% CI = 0.02-0.29, P < .001).Conclusion: This meta-analysis found that balloon angioplasty can yield better results in renal artery interventions than stenting. Nonetheless, it is desirable to avoid vessel dissections during balloon angioplasty, which can eventually require stent implantations.Abbreviations: CI = confidence interval, OR = odds ratio, PRISMA = Preferred Reporting Items for Systematic Reviews and Meta-Analyses, TA = Takayasu arteritis.

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Section: Discussionmentioning

confidence: 50%

“…Finally, 7 studies met the inclusion criteria and were used in the meta-analysis. [10][11][12][13][14][15][16] A flow chart detailing the inclusion and exclusion process is shown in Fig. 1.…”

Section: Study Identification and Characteristicsmentioning

confidence: 99%

Endovascular Balloon Angioplasty versus Stenting in Patients With Takayasu Arteritis: A Meta-Analysis

Jeong¹,

Jung²,

Song³

et al. 2018

Journal of Vascular Surgery

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“…Though optimal antihypertensive drug therapy is effective in most cases, certain patients of resistant or malignant hypertension with TA-related RAS need further interventions 3. PTA has emerged as a safe, less invasive and viable alternative to surgical revascularisation for RAS 4. There are several observational studies of limited cases about the efficacy of PTA alone5–8 or with stenting 9.…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous transluminal angioplasty (PTA) remains the most widely used option and is preferred over surgical revascularisation. The use of stent implantation is restricted for haemodynamically significant residual stenosis or a flow-limiting dissection 4. We, hereby, report a case of a middle-aged woman of TA, who had renal autotransplantation following a failed endovascular intervention for renal artery in-stent restenosis (ISR) of a solitary functional kidney.…”

Section: Introductionmentioning

confidence: 99%

Renal autotransplantation for the management of renal artery in-stent restenosis in an adult patient with Takayasu arteritis

Vijayvergiya¹,

Sharma

Kanabar

et al. 2018

BMJ Case Reports

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Renovascular hypertension is a common clinical presentation in Takayasu arteritis (TA), when the renal arteries are involved. Although most of the patients respond to optimal antihypertensive drug therapy, certain patients with TA require percutaneous or surgical renal artery revascularisation to manage renovascular hypertension. We, hereby, present a 45-year-old woman, who had resistant hypertension secondary to in-stent restenosis (ISR) of renal artery stent in a single functioning kidney. She had successful renal autotransplantation following a failed endovascular attempt to treat ISR. Endovascular and surgical interventions related to renal artery stenosis in TA are discussed in the article.

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“…Hypertension secondary to TA often needs appropriate endovascular intervention. Percutaneous transluminal angioplasty (PTA) has emerged as a safe, minimally invasive and viable alternative to surgical revascularization for management of stenotic renal arteries and abdominal aorta . There is a faster progression of angiographic lesions, higher rate of restenosis, repeat intervention and poor long‐term outcome if intervention is performed during active disease .…”

Section: Discussionmentioning

confidence: 99%

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north‐west India

et al. 2018

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Aim:To report our experience on complex percutaneous interventions of the abdominal aorta and its branches in six children with Takayasu arteritis (TA). Methods:A review of records of children with TA, who underwent percutaneous interventions of the abdominal aorta and its major branches. Results:In this analysis, we included six children with TA who underwent intervention of the abdominal aorta and its major branches. The endovascular interventions were performed mostly for treatment-resistant renovascular hypertension and mesentery artery ischemia. Mean age (±SD) at time of intervention was 10.6 ± 2.5 years (four boys and two girls). Percutaneous interventions included stenting of abdominal aorta (n = 2), renal arteries (n = 4), mesenteric arteries (n = 2), repeat stenting for renal artery in-stent restenosis (n = 1), and renal autotransplantation (n = 4). All 13 interventions were successful and enabled us to obtain good control of blood pressure. Conclusion:We hereby report six children with TA who were successfully managed with complex percutaneous interventions of the abdominal aorta and its major branches. Balloon dilatation and stent placement constitutes the mainstay of management of TA with stenosis of the large vessels. K E Y W O R D Sabdominal aorta, drug-eluting stent, hypertension, mesenteric artery stent, renal artery instent restenosis, renal artery stent, renal auto-transplantation, stent fracture, Takayasu arteritis

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The results of treatment in renal artery stenosis due to Takayasu disease: comparison between surgery, angioplasty, and stenting. A monocentrique retrospective study

Cited by 23 publications

References 22 publications

Endovascular Balloon Angioplasty versus Stenting in Patients With Takayasu Arteritis: A Meta-Analysis

Endovascular Balloon Angioplasty versus Stenting in Patients With Takayasu Arteritis: A Meta-Analysis

Renal autotransplantation for the management of renal artery in-stent restenosis in an adult patient with Takayasu arteritis

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north‐west India

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