Comparison of early and late efficacy of percutaneous transluminal renal angioplasty with or without subsequent brachytherapy: the effect on blood pressure in patients with renovascular hypertension
Scarce data exist concerning the long-term effect of percutaneous transluminal renal angioplasty (PTRA) enhanced with intravascular gamma brachytherapy (IVBT) in patients with renovascular hypertension. Seventy one patients aged 52 +/- 8 years with refractory renovascular hypertension were randomize...
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| Veröffentlicht in: | Cardiology journal 2009, Vol.16 (6), p.514-520 |
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| creator | Lekston, Andrzej Chudek, Jerzy Wilczek, Krzysztof Gasior, Mariusz Wiecek, Andrzej Kokot, Franciszek Fijałkowski, Marek Gierlotka, Marek Szyguła-Jurkiewicz, Bozena Wojnicz, Roman Białas, Brygida Osuch, Marcin Maciejewski, Bogusław Poloński, Lech |
| description | Scarce data exist concerning the long-term effect of percutaneous transluminal renal angioplasty (PTRA) enhanced with intravascular gamma brachytherapy (IVBT) in patients with renovascular hypertension.
Seventy one patients aged 52 +/- 8 years with refractory renovascular hypertension were randomized to Group I (PTRA + IVBT) or Group II (PTRA). For the IVBT procedure, the PARIS catheter and Microselectron HDR (Nucletron) system was employed. Both baseline and 9-month follow-up quantitative computerized angiography (QCA) and ambulatory blood pressure monitoring analysis was performed to assess luminal parameters of restenosis and the effect of treatment on blood pressure.
Thirty three patients from Group I and 29 patients from Group II underwent successful procedure. During nine months of follow-up, three patients died; including two patients in Group I (cardiac causes) and one patient in Group II (stroke). The follow-up lumen diameter stenosis was 30.6 +/- 13.7% and 40.4 +/- 11% in Groups I and II, respectively (p = 0.004). Late lumen loss in quantitative computerized angiography was 1.2 +/- 0.7 mm and 1.7 +/- 0.7 mm in Groups I and II, respectively (p = 0.004).
Intravascular gamma brachytherapy using self-centering source performed after balloon angioplasty is a safe and effective method of prevention of restenosis after PTRA in patients with renovascular hypertension. |
| format | Article |
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Seventy one patients aged 52 +/- 8 years with refractory renovascular hypertension were randomized to Group I (PTRA + IVBT) or Group II (PTRA). For the IVBT procedure, the PARIS catheter and Microselectron HDR (Nucletron) system was employed. Both baseline and 9-month follow-up quantitative computerized angiography (QCA) and ambulatory blood pressure monitoring analysis was performed to assess luminal parameters of restenosis and the effect of treatment on blood pressure.
Thirty three patients from Group I and 29 patients from Group II underwent successful procedure. During nine months of follow-up, three patients died; including two patients in Group I (cardiac causes) and one patient in Group II (stroke). The follow-up lumen diameter stenosis was 30.6 +/- 13.7% and 40.4 +/- 11% in Groups I and II, respectively (p = 0.004). Late lumen loss in quantitative computerized angiography was 1.2 +/- 0.7 mm and 1.7 +/- 0.7 mm in Groups I and II, respectively (p = 0.004).
Intravascular gamma brachytherapy using self-centering source performed after balloon angioplasty is a safe and effective method of prevention of restenosis after PTRA in patients with renovascular hypertension.</description><identifier>EISSN: 1897-5593</identifier><identifier>PMID: 19950087</identifier><language>eng</language><publisher>Poland</publisher><subject>Angioplasty, Balloon ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Brachytherapy ; Combined Modality Therapy ; Female ; Humans ; Hypertension, Renovascular - diagnostic imaging ; Hypertension, Renovascular - mortality ; Hypertension, Renovascular - physiopathology ; Hypertension, Renovascular - radiotherapy ; Hypertension, Renovascular - therapy ; Male ; Middle Aged ; Radiography ; Renal Artery Obstruction - diagnostic imaging ; Renal Artery Obstruction - mortality ; Renal Artery Obstruction - physiopathology ; Renal Artery Obstruction - radiotherapy ; Renal Artery Obstruction - therapy ; Secondary Prevention ; Severity of Illness Index ; Time Factors ; Treatment Outcome</subject><ispartof>Cardiology journal, 2009, Vol.16 (6), p.514-520</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,4026</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19950087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lekston, Andrzej</creatorcontrib><creatorcontrib>Chudek, Jerzy</creatorcontrib><creatorcontrib>Wilczek, Krzysztof</creatorcontrib><creatorcontrib>Gasior, Mariusz</creatorcontrib><creatorcontrib>Wiecek, Andrzej</creatorcontrib><creatorcontrib>Kokot, Franciszek</creatorcontrib><creatorcontrib>Fijałkowski, Marek</creatorcontrib><creatorcontrib>Gierlotka, Marek</creatorcontrib><creatorcontrib>Szyguła-Jurkiewicz, Bozena</creatorcontrib><creatorcontrib>Wojnicz, Roman</creatorcontrib><creatorcontrib>Białas, Brygida</creatorcontrib><creatorcontrib>Osuch, Marcin</creatorcontrib><creatorcontrib>Maciejewski, Bogusław</creatorcontrib><creatorcontrib>Poloński, Lech</creatorcontrib><title>Comparison of early and late efficacy of percutaneous transluminal renal angioplasty with or without subsequent brachytherapy: the effect on blood pressure in patients with renovascular hypertension</title><title>Cardiology journal</title><addtitle>Cardiol J</addtitle><description>Scarce data exist concerning the long-term effect of percutaneous transluminal renal angioplasty (PTRA) enhanced with intravascular gamma brachytherapy (IVBT) in patients with renovascular hypertension.
Seventy one patients aged 52 +/- 8 years with refractory renovascular hypertension were randomized to Group I (PTRA + IVBT) or Group II (PTRA). For the IVBT procedure, the PARIS catheter and Microselectron HDR (Nucletron) system was employed. Both baseline and 9-month follow-up quantitative computerized angiography (QCA) and ambulatory blood pressure monitoring analysis was performed to assess luminal parameters of restenosis and the effect of treatment on blood pressure.
Thirty three patients from Group I and 29 patients from Group II underwent successful procedure. During nine months of follow-up, three patients died; including two patients in Group I (cardiac causes) and one patient in Group II (stroke). The follow-up lumen diameter stenosis was 30.6 +/- 13.7% and 40.4 +/- 11% in Groups I and II, respectively (p = 0.004). Late lumen loss in quantitative computerized angiography was 1.2 +/- 0.7 mm and 1.7 +/- 0.7 mm in Groups I and II, respectively (p = 0.004).
Intravascular gamma brachytherapy using self-centering source performed after balloon angioplasty is a safe and effective method of prevention of restenosis after PTRA in patients with renovascular hypertension.</description><subject>Angioplasty, Balloon</subject><subject>Blood Pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Brachytherapy</subject><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension, Renovascular - diagnostic imaging</subject><subject>Hypertension, Renovascular - mortality</subject><subject>Hypertension, Renovascular - physiopathology</subject><subject>Hypertension, Renovascular - radiotherapy</subject><subject>Hypertension, Renovascular - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Renal Artery Obstruction - diagnostic imaging</subject><subject>Renal Artery Obstruction - mortality</subject><subject>Renal Artery Obstruction - physiopathology</subject><subject>Renal Artery Obstruction - radiotherapy</subject><subject>Renal Artery Obstruction - therapy</subject><subject>Secondary Prevention</subject><subject>Severity of Illness Index</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1897-5593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UMtu2zAQFAoEteP0F4q99WSAEkWJzK0wmjaAgV6as7GiVjULimT4aKAf7HdVjpPLzgI7O7M7H6ptLVW_F0LxTXWb0h_GOiVE87Ha1EoJxmS_rf4d_BwwmuQd-AkIo10A3QgWMwFNk9Gol8soUNQloyNfEuSILtkyG4cWIl0qut_GB4spL_Bi8hl8fEVfMqQyJHou5DIMEfV5yWeKGJZ7WJuLC-kM6wWD9X6EECmlEgmMg4DZrGvpKrk6-b-YdLEY4bysJ2VyyXh3V91MaBN9esNd9fTw7dfhx_748_vj4etxH5qa5T2XCvmgxMi7rleS8zWheuxEzyddt_0oSKBiLWqmGcpasF62gxy41jWXQyP4rvpy1Q3Rr_-kfJpN0mTtNZdTz9u6a2TbrczPb8wyzDSeQjQzxuX0Hj3_D1hohUA</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Lekston, Andrzej</creator><creator>Chudek, Jerzy</creator><creator>Wilczek, Krzysztof</creator><creator>Gasior, Mariusz</creator><creator>Wiecek, Andrzej</creator><creator>Kokot, Franciszek</creator><creator>Fijałkowski, Marek</creator><creator>Gierlotka, Marek</creator><creator>Szyguła-Jurkiewicz, Bozena</creator><creator>Wojnicz, Roman</creator><creator>Białas, Brygida</creator><creator>Osuch, Marcin</creator><creator>Maciejewski, Bogusław</creator><creator>Poloński, Lech</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2009</creationdate><title>Comparison of early and late efficacy of percutaneous transluminal renal angioplasty with or without subsequent brachytherapy: the effect on blood pressure in patients with renovascular hypertension</title><author>Lekston, Andrzej ; Chudek, Jerzy ; Wilczek, Krzysztof ; Gasior, Mariusz ; Wiecek, Andrzej ; Kokot, Franciszek ; Fijałkowski, Marek ; Gierlotka, Marek ; Szyguła-Jurkiewicz, Bozena ; Wojnicz, Roman ; Białas, Brygida ; Osuch, Marcin ; Maciejewski, Bogusław ; Poloński, Lech</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p210t-389a3b95d366798331891d6573fc147d5e5a904ac0c0a8150784b8b3cc138b253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Angioplasty, Balloon</topic><topic>Blood Pressure</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Brachytherapy</topic><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension, Renovascular - diagnostic imaging</topic><topic>Hypertension, Renovascular - mortality</topic><topic>Hypertension, Renovascular - physiopathology</topic><topic>Hypertension, Renovascular - radiotherapy</topic><topic>Hypertension, Renovascular - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Renal Artery Obstruction - diagnostic imaging</topic><topic>Renal Artery Obstruction - mortality</topic><topic>Renal Artery Obstruction - physiopathology</topic><topic>Renal Artery Obstruction - radiotherapy</topic><topic>Renal Artery Obstruction - therapy</topic><topic>Secondary Prevention</topic><topic>Severity of Illness Index</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lekston, Andrzej</creatorcontrib><creatorcontrib>Chudek, Jerzy</creatorcontrib><creatorcontrib>Wilczek, Krzysztof</creatorcontrib><creatorcontrib>Gasior, Mariusz</creatorcontrib><creatorcontrib>Wiecek, Andrzej</creatorcontrib><creatorcontrib>Kokot, Franciszek</creatorcontrib><creatorcontrib>Fijałkowski, Marek</creatorcontrib><creatorcontrib>Gierlotka, Marek</creatorcontrib><creatorcontrib>Szyguła-Jurkiewicz, Bozena</creatorcontrib><creatorcontrib>Wojnicz, Roman</creatorcontrib><creatorcontrib>Białas, Brygida</creatorcontrib><creatorcontrib>Osuch, Marcin</creatorcontrib><creatorcontrib>Maciejewski, Bogusław</creatorcontrib><creatorcontrib>Poloński, Lech</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiology journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lekston, Andrzej</au><au>Chudek, Jerzy</au><au>Wilczek, Krzysztof</au><au>Gasior, Mariusz</au><au>Wiecek, Andrzej</au><au>Kokot, Franciszek</au><au>Fijałkowski, Marek</au><au>Gierlotka, Marek</au><au>Szyguła-Jurkiewicz, Bozena</au><au>Wojnicz, Roman</au><au>Białas, Brygida</au><au>Osuch, Marcin</au><au>Maciejewski, Bogusław</au><au>Poloński, Lech</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of early and late efficacy of percutaneous transluminal renal angioplasty with or without subsequent brachytherapy: the effect on blood pressure in patients with renovascular hypertension</atitle><jtitle>Cardiology journal</jtitle><addtitle>Cardiol J</addtitle><date>2009</date><risdate>2009</risdate><volume>16</volume><issue>6</issue><spage>514</spage><epage>520</epage><pages>514-520</pages><eissn>1897-5593</eissn><abstract>Scarce data exist concerning the long-term effect of percutaneous transluminal renal angioplasty (PTRA) enhanced with intravascular gamma brachytherapy (IVBT) in patients with renovascular hypertension.
Seventy one patients aged 52 +/- 8 years with refractory renovascular hypertension were randomized to Group I (PTRA + IVBT) or Group II (PTRA). For the IVBT procedure, the PARIS catheter and Microselectron HDR (Nucletron) system was employed. Both baseline and 9-month follow-up quantitative computerized angiography (QCA) and ambulatory blood pressure monitoring analysis was performed to assess luminal parameters of restenosis and the effect of treatment on blood pressure.
Thirty three patients from Group I and 29 patients from Group II underwent successful procedure. During nine months of follow-up, three patients died; including two patients in Group I (cardiac causes) and one patient in Group II (stroke). The follow-up lumen diameter stenosis was 30.6 +/- 13.7% and 40.4 +/- 11% in Groups I and II, respectively (p = 0.004). Late lumen loss in quantitative computerized angiography was 1.2 +/- 0.7 mm and 1.7 +/- 0.7 mm in Groups I and II, respectively (p = 0.004).
Intravascular gamma brachytherapy using self-centering source performed after balloon angioplasty is a safe and effective method of prevention of restenosis after PTRA in patients with renovascular hypertension.</abstract><cop>Poland</cop><pmid>19950087</pmid><tpages>7</tpages></addata></record> |
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| identifier | EISSN: 1897-5593 |
| ispartof | Cardiology journal, 2009, Vol.16 (6), p.514-520 |
| issn | 1897-5593 |
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| subjects | Angioplasty, Balloon Blood Pressure Blood Pressure Monitoring, Ambulatory Brachytherapy Combined Modality Therapy Female Humans Hypertension, Renovascular - diagnostic imaging Hypertension, Renovascular - mortality Hypertension, Renovascular - physiopathology Hypertension, Renovascular - radiotherapy Hypertension, Renovascular - therapy Male Middle Aged Radiography Renal Artery Obstruction - diagnostic imaging Renal Artery Obstruction - mortality Renal Artery Obstruction - physiopathology Renal Artery Obstruction - radiotherapy Renal Artery Obstruction - therapy Secondary Prevention Severity of Illness Index Time Factors Treatment Outcome |
| title | Comparison of early and late efficacy of percutaneous transluminal renal angioplasty with or without subsequent brachytherapy: the effect on blood pressure in patients with renovascular hypertension |
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