Renal artery stenting in patients with a solitary functioning kidney
To retrospectively evaluate the results of renal artery stenting in patients with renovascular disease and a solitary functioning kidney. Palmaz stents were placed in 16 patients with a solitary functioning kidney, renal artery stenosis, hypertension and renal failure. Stenoses were evaluated with c...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2001-11, Vol.24 (6), p.372-377 |
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| creator | CIONI, Roberto VIGNALI, Claudio PETRUZZI, Pasquale NERI, Emanuele CARAMELLA, Davide VAGLI, Paola BARGELLINI, Irene NAPOLI, Vinicio PINTO, Stefania BARTOLOZZI, Carlo |
| description | To retrospectively evaluate the results of renal artery stenting in patients with renovascular disease and a solitary functioning kidney.
Palmaz stents were placed in 16 patients with a solitary functioning kidney, renal artery stenosis, hypertension and renal failure. Stenoses were evaluated with color Doppler ultrasound, MR angiography and digital subtraction angiography (DSA). Indications for stenting were: recoil after percutaneous transluminal renal angioplasty (PTRA) (63%), arterial dissection after PTRA (13%) and primary stenting (25%). Immediate results were evaluated by DSA. On follow-up (6-36 months), patients underwent periodical evaluation of clinical conditions (blood pressure and serum creatinine level) and stent patency, by means of color Doppler ultrasound.
Stent placement was successful in all patients (100%). Cumulative primary patency rate was: 100% at 1 day, 93.75% at 6 months, 81.25% at 12 months and 75% at 24 months. A significant reduction in diastolic blood pressure occurred (mean +/- SD 104 +/- 6 vs 92 +/- 3; p < 0.05); renal function improved or stabilized in over 80% of patients. However, there was no significant difference in the creatinine values before and after treatment (mean +/- SD 200 +/- 142 micromol/l vs 197 +/- 182 micromol/l; p > 0.05).
Renal artery stenting, both after PTRA and as primary stenting, represents a safe procedure, able to preserve renal function in patients with a solitary functioning kidney. |
| doi_str_mv | 10.1007/s00270-001-0045-3 |
| format | Article |
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Palmaz stents were placed in 16 patients with a solitary functioning kidney, renal artery stenosis, hypertension and renal failure. Stenoses were evaluated with color Doppler ultrasound, MR angiography and digital subtraction angiography (DSA). Indications for stenting were: recoil after percutaneous transluminal renal angioplasty (PTRA) (63%), arterial dissection after PTRA (13%) and primary stenting (25%). Immediate results were evaluated by DSA. On follow-up (6-36 months), patients underwent periodical evaluation of clinical conditions (blood pressure and serum creatinine level) and stent patency, by means of color Doppler ultrasound.
Stent placement was successful in all patients (100%). Cumulative primary patency rate was: 100% at 1 day, 93.75% at 6 months, 81.25% at 12 months and 75% at 24 months. A significant reduction in diastolic blood pressure occurred (mean +/- SD 104 +/- 6 vs 92 +/- 3; p < 0.05); renal function improved or stabilized in over 80% of patients. However, there was no significant difference in the creatinine values before and after treatment (mean +/- SD 200 +/- 142 micromol/l vs 197 +/- 182 micromol/l; p > 0.05).
Renal artery stenting, both after PTRA and as primary stenting, represents a safe procedure, able to preserve renal function in patients with a solitary functioning kidney.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-001-0045-3</identifier><identifier>PMID: 11907742</identifier><identifier>CODEN: CAIRDG</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; ARTERIES ; Biological and medical sciences ; BIOMEDICAL RADIOGRAPHY ; BLOOD ; Blood Pressure - physiology ; Blood Vessel Prosthesis Implantation ; COLOR MODEL ; CREATININE ; Creatinine - blood ; Female ; Follow-Up Studies ; Graft Occlusion, Vascular - etiology ; Graft Occlusion, Vascular - mortality ; Graft Occlusion, Vascular - physiopathology ; Humans ; HYPERTENSION ; Kidney - blood supply ; Kidney - physiopathology ; Kidney - surgery ; KIDNEYS ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; PATIENTS ; RADIOLOGY AND NUCLEAR MEDICINE ; Renal Artery - surgery ; Renal Artery Obstruction - complications ; Renal Artery Obstruction - surgery ; Renovascular diseases ; Severity of Illness Index ; Stents ; Survival Analysis ; Time Factors ; Treatment Outcome ; VASCULAR DISEASES ; Vascular Patency - physiology</subject><ispartof>Cardiovascular and interventional radiology, 2001-11, Vol.24 (6), p.372-377</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-7e0bdcb7949afa0da187061009c1ed32175acbfce60a0ce41e64e35efe21d33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13462490$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11907742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21083470$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>CIONI, Roberto</creatorcontrib><creatorcontrib>VIGNALI, Claudio</creatorcontrib><creatorcontrib>PETRUZZI, Pasquale</creatorcontrib><creatorcontrib>NERI, Emanuele</creatorcontrib><creatorcontrib>CARAMELLA, Davide</creatorcontrib><creatorcontrib>VAGLI, Paola</creatorcontrib><creatorcontrib>BARGELLINI, Irene</creatorcontrib><creatorcontrib>NAPOLI, Vinicio</creatorcontrib><creatorcontrib>PINTO, Stefania</creatorcontrib><creatorcontrib>BARTOLOZZI, Carlo</creatorcontrib><title>Renal artery stenting in patients with a solitary functioning kidney</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>To retrospectively evaluate the results of renal artery stenting in patients with renovascular disease and a solitary functioning kidney.
Palmaz stents were placed in 16 patients with a solitary functioning kidney, renal artery stenosis, hypertension and renal failure. Stenoses were evaluated with color Doppler ultrasound, MR angiography and digital subtraction angiography (DSA). Indications for stenting were: recoil after percutaneous transluminal renal angioplasty (PTRA) (63%), arterial dissection after PTRA (13%) and primary stenting (25%). Immediate results were evaluated by DSA. On follow-up (6-36 months), patients underwent periodical evaluation of clinical conditions (blood pressure and serum creatinine level) and stent patency, by means of color Doppler ultrasound.
Stent placement was successful in all patients (100%). Cumulative primary patency rate was: 100% at 1 day, 93.75% at 6 months, 81.25% at 12 months and 75% at 24 months. A significant reduction in diastolic blood pressure occurred (mean +/- SD 104 +/- 6 vs 92 +/- 3; p < 0.05); renal function improved or stabilized in over 80% of patients. However, there was no significant difference in the creatinine values before and after treatment (mean +/- SD 200 +/- 142 micromol/l vs 197 +/- 182 micromol/l; p > 0.05).
Renal artery stenting, both after PTRA and as primary stenting, represents a safe procedure, able to preserve renal function in patients with a solitary functioning kidney.</description><subject>Adult</subject><subject>Aged</subject><subject>ARTERIES</subject><subject>Biological and medical sciences</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>BLOOD</subject><subject>Blood Pressure - physiology</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>COLOR MODEL</subject><subject>CREATININE</subject><subject>Creatinine - blood</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Occlusion, Vascular - etiology</subject><subject>Graft Occlusion, Vascular - mortality</subject><subject>Graft Occlusion, Vascular - physiopathology</subject><subject>Humans</subject><subject>HYPERTENSION</subject><subject>Kidney - blood supply</subject><subject>Kidney - physiopathology</subject><subject>Kidney - surgery</subject><subject>KIDNEYS</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>PATIENTS</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Renal Artery - surgery</subject><subject>Renal Artery Obstruction - complications</subject><subject>Renal Artery Obstruction - surgery</subject><subject>Renovascular diseases</subject><subject>Severity of Illness Index</subject><subject>Stents</subject><subject>Survival Analysis</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>VASCULAR DISEASES</subject><subject>Vascular Patency - physiology</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0EtLxDAQB_Agiq6PD-BFCqK36kweTXuU9QmCoB68hWw61Wg3XZss4rc3yy54CEPgN8PMn7FjhAsE0JcRgGsoATA_qUqxxSYoBS-hrt622QRQyxKVwj22H-NndqrmapftITagteQTdv1MwfaFHRONv0VMFJIP74UPxcImn3-x-PHpo7BFHHqfbEbdMrjkh7ByX74N9HvIdjrbRzra1AP2cnvzOr0vH5_uHqZXj6UTSqVSE8xaN9ONbGxnobVYa6jyJY1DagVHraybdY4qsOBIIlWShKKOOLZCHLDT9dQhJm-i84nchxtCIJcMR6iF1JDV-VotxuF7STGZuY-O-t4GGpbRaOR1LQRmiGvoxiHGkTqzGP08H2gQzCpes47X5NjMKl6zWuFkM3w5m1P737HJM4OzDbDR2b4bbXA-_jshKy4bEH_HeYKA</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>CIONI, Roberto</creator><creator>VIGNALI, Claudio</creator><creator>PETRUZZI, Pasquale</creator><creator>NERI, Emanuele</creator><creator>CARAMELLA, Davide</creator><creator>VAGLI, Paola</creator><creator>BARGELLINI, Irene</creator><creator>NAPOLI, Vinicio</creator><creator>PINTO, Stefania</creator><creator>BARTOLOZZI, Carlo</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20011101</creationdate><title>Renal artery stenting in patients with a solitary functioning kidney</title><author>CIONI, Roberto ; VIGNALI, Claudio ; PETRUZZI, Pasquale ; NERI, Emanuele ; CARAMELLA, Davide ; VAGLI, Paola ; BARGELLINI, Irene ; NAPOLI, Vinicio ; PINTO, Stefania ; BARTOLOZZI, Carlo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-7e0bdcb7949afa0da187061009c1ed32175acbfce60a0ce41e64e35efe21d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>ARTERIES</topic><topic>Biological and medical sciences</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>BLOOD</topic><topic>Blood Pressure - physiology</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>COLOR MODEL</topic><topic>CREATININE</topic><topic>Creatinine - blood</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Occlusion, Vascular - etiology</topic><topic>Graft Occlusion, Vascular - mortality</topic><topic>Graft Occlusion, Vascular - physiopathology</topic><topic>Humans</topic><topic>HYPERTENSION</topic><topic>Kidney - blood supply</topic><topic>Kidney - physiopathology</topic><topic>Kidney - surgery</topic><topic>KIDNEYS</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>PATIENTS</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Renal Artery - surgery</topic><topic>Renal Artery Obstruction - complications</topic><topic>Renal Artery Obstruction - surgery</topic><topic>Renovascular diseases</topic><topic>Severity of Illness Index</topic><topic>Stents</topic><topic>Survival Analysis</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>VASCULAR DISEASES</topic><topic>Vascular Patency - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CIONI, Roberto</creatorcontrib><creatorcontrib>VIGNALI, Claudio</creatorcontrib><creatorcontrib>PETRUZZI, Pasquale</creatorcontrib><creatorcontrib>NERI, Emanuele</creatorcontrib><creatorcontrib>CARAMELLA, Davide</creatorcontrib><creatorcontrib>VAGLI, Paola</creatorcontrib><creatorcontrib>BARGELLINI, Irene</creatorcontrib><creatorcontrib>NAPOLI, Vinicio</creatorcontrib><creatorcontrib>PINTO, Stefania</creatorcontrib><creatorcontrib>BARTOLOZZI, Carlo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CIONI, Roberto</au><au>VIGNALI, Claudio</au><au>PETRUZZI, Pasquale</au><au>NERI, Emanuele</au><au>CARAMELLA, Davide</au><au>VAGLI, Paola</au><au>BARGELLINI, Irene</au><au>NAPOLI, Vinicio</au><au>PINTO, Stefania</au><au>BARTOLOZZI, Carlo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal artery stenting in patients with a solitary functioning kidney</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>24</volume><issue>6</issue><spage>372</spage><epage>377</epage><pages>372-377</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><coden>CAIRDG</coden><abstract>To retrospectively evaluate the results of renal artery stenting in patients with renovascular disease and a solitary functioning kidney.
Palmaz stents were placed in 16 patients with a solitary functioning kidney, renal artery stenosis, hypertension and renal failure. Stenoses were evaluated with color Doppler ultrasound, MR angiography and digital subtraction angiography (DSA). Indications for stenting were: recoil after percutaneous transluminal renal angioplasty (PTRA) (63%), arterial dissection after PTRA (13%) and primary stenting (25%). Immediate results were evaluated by DSA. On follow-up (6-36 months), patients underwent periodical evaluation of clinical conditions (blood pressure and serum creatinine level) and stent patency, by means of color Doppler ultrasound.
Stent placement was successful in all patients (100%). Cumulative primary patency rate was: 100% at 1 day, 93.75% at 6 months, 81.25% at 12 months and 75% at 24 months. A significant reduction in diastolic blood pressure occurred (mean +/- SD 104 +/- 6 vs 92 +/- 3; p < 0.05); renal function improved or stabilized in over 80% of patients. However, there was no significant difference in the creatinine values before and after treatment (mean +/- SD 200 +/- 142 micromol/l vs 197 +/- 182 micromol/l; p > 0.05).
Renal artery stenting, both after PTRA and as primary stenting, represents a safe procedure, able to preserve renal function in patients with a solitary functioning kidney.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>11907742</pmid><doi>10.1007/s00270-001-0045-3</doi><tpages>6</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2001-11, Vol.24 (6), p.372-377 |
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| subjects | Adult Aged ARTERIES Biological and medical sciences BIOMEDICAL RADIOGRAPHY BLOOD Blood Pressure - physiology Blood Vessel Prosthesis Implantation COLOR MODEL CREATININE Creatinine - blood Female Follow-Up Studies Graft Occlusion, Vascular - etiology Graft Occlusion, Vascular - mortality Graft Occlusion, Vascular - physiopathology Humans HYPERTENSION Kidney - blood supply Kidney - physiopathology Kidney - surgery KIDNEYS Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure PATIENTS RADIOLOGY AND NUCLEAR MEDICINE Renal Artery - surgery Renal Artery Obstruction - complications Renal Artery Obstruction - surgery Renovascular diseases Severity of Illness Index Stents Survival Analysis Time Factors Treatment Outcome VASCULAR DISEASES Vascular Patency - physiology |
| title | Renal artery stenting in patients with a solitary functioning kidney |
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