Transluminal vascular stent for ostial atherosclerotic renal artery stenosis
We implanted transluminal stents in 24 hypertensive patients with a critical atherosclerotic ostial renal artery stenosis (28 arteries). Immediate revascularisation was successful in all. Follow-up angiography at 6 months, available in 18 patients, revealed restenosis twice. In another patient reste...
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| Veröffentlicht in: | The Lancet (British edition) 1995-09, Vol.346 (8976), p.672-674 |
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| creator | van de Ven, P.J.G. Beutler, J.J. Geyskes, G.G. Koomans, H.A. Kaatee, R. Beek, F.J.A. Mali, W.P.Th.M. |
| description | We implanted transluminal stents in 24 hypertensive patients with a critical atherosclerotic ostial renal artery stenosis (28 arteries). Immediate revascularisation was successful in all. Follow-up angiography at 6 months, available in 18 patients, revealed restenosis twice. In another patient restenosis was suspected and confirmed by angiography at 2 months. Hence, the total restenosis rate was 3 of 19 patients (16%) and 3 of 23 arteries (13%). Two patients developed renal insufficiency due to cholesterol embolism. In the remaining 22 patients renal function improved (n=8) or stabilised (n=14). Although all had to resume antihypertensive treatment, blood pressure normalised in 15 patients, improved in one, remained unchanged in five and worsened in one. |
| doi_str_mv | 10.1016/S0140-6736(95)92283-0 |
| format | Article |
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Immediate revascularisation was successful in all. Follow-up angiography at 6 months, available in 18 patients, revealed restenosis twice. In another patient restenosis was suspected and confirmed by angiography at 2 months. Hence, the total restenosis rate was 3 of 19 patients (16%) and 3 of 23 arteries (13%). Two patients developed renal insufficiency due to cholesterol embolism. In the remaining 22 patients renal function improved (n=8) or stabilised (n=14). Although all had to resume antihypertensive treatment, blood pressure normalised in 15 patients, improved in one, remained unchanged in five and worsened in one.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(95)92283-0</identifier><identifier>PMID: 7658821</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty, Balloon ; Arteriosclerosis - diagnostic imaging ; Arteriosclerosis - physiopathology ; Arteriosclerosis - therapy ; Biological and medical sciences ; Blood Pressure ; Catheterization - adverse effects ; Creatinine - blood ; Diseases of the cardiovascular system ; Humans ; Hypertension ; Medical research ; Medical sciences ; Middle Aged ; Radiography ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recurrence ; Renal Artery Obstruction - diagnostic imaging ; Renal Artery Obstruction - etiology ; Renal Artery Obstruction - physiopathology ; Renal Artery Obstruction - therapy ; Renal function ; Renal Insufficiency - etiology ; Stents - adverse effects ; Transplants & implants</subject><ispartof>The Lancet (British edition), 1995-09, Vol.346 (8976), p.672-674</ispartof><rights>1995</rights><rights>1995 INIST-CNRS</rights><rights>Copyright Lancet Ltd. Sep 9, 1995</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-3e906e19dfb2a31d7b64648333619fc735f6421f1feb2b132bbc00df75e774733</citedby><cites>FETCH-LOGICAL-c445t-3e906e19dfb2a31d7b64648333619fc735f6421f1feb2b132bbc00df75e774733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0140673695922830$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3664961$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7658821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van de Ven, P.J.G.</creatorcontrib><creatorcontrib>Beutler, J.J.</creatorcontrib><creatorcontrib>Geyskes, G.G.</creatorcontrib><creatorcontrib>Koomans, H.A.</creatorcontrib><creatorcontrib>Kaatee, R.</creatorcontrib><creatorcontrib>Beek, F.J.A.</creatorcontrib><creatorcontrib>Mali, W.P.Th.M.</creatorcontrib><title>Transluminal vascular stent for ostial atherosclerotic renal artery stenosis</title><title>The Lancet (British edition)</title><addtitle>Lancet</addtitle><description>We implanted transluminal stents in 24 hypertensive patients with a critical atherosclerotic ostial renal artery stenosis (28 arteries). Immediate revascularisation was successful in all. Follow-up angiography at 6 months, available in 18 patients, revealed restenosis twice. In another patient restenosis was suspected and confirmed by angiography at 2 months. Hence, the total restenosis rate was 3 of 19 patients (16%) and 3 of 23 arteries (13%). Two patients developed renal insufficiency due to cholesterol embolism. In the remaining 22 patients renal function improved (n=8) or stabilised (n=14). Although all had to resume antihypertensive treatment, blood pressure normalised in 15 patients, improved in one, remained unchanged in five and worsened in one.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon</subject><subject>Arteriosclerosis - diagnostic imaging</subject><subject>Arteriosclerosis - physiopathology</subject><subject>Arteriosclerosis - therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Catheterization - adverse effects</subject><subject>Creatinine - blood</subject><subject>Diseases of the cardiovascular system</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recurrence</subject><subject>Renal Artery Obstruction - diagnostic imaging</subject><subject>Renal Artery Obstruction - etiology</subject><subject>Renal Artery Obstruction - physiopathology</subject><subject>Renal Artery Obstruction - therapy</subject><subject>Renal function</subject><subject>Renal Insufficiency - etiology</subject><subject>Stents - adverse effects</subject><subject>Transplants & implants</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkE1r3DAQhkVpSbdJf0LAlBLagxPJ-rJOpYS2KSzkkAR6E7I8ogpeO9HIgfz7yLvLHnLJZebwPjPMPIScMnrOKFMXN5QJWivN1Tcjv5umaXlN35EVE1rUUuh_78nqgHwknxDvKaVCUXlEjrSSbduwFVnfJjfiMG_i6IbqyaGfB5cqzDDmKkypmjDHkrj8H9KEfig1R18lWHiXMqTnLT1hxBPyIbgB4fO-H5O7379uL6_q9fWfv5c_17UXQuaag6EKmOlD1zjOet0poUTLOVfMBK-5DEo0LLAAXdMx3nSdp7QPWoLWQnN-TM52ex_S9DgDZruJ6GEY3AjTjHahWkoX8Msr8H6aU7kcLTOtUcpIVSC5g3x5EBME-5DixqVny6hdVNutart4tEbarWpLy9zpfvncbaA_TO3dlvzrPi9W3RCKaB_xgHGlhFEL9mOHQTH2FCFZ9BFGD31M4LPtp_jGIS_PVJq8</recordid><startdate>19950909</startdate><enddate>19950909</enddate><creator>van de Ven, P.J.G.</creator><creator>Beutler, J.J.</creator><creator>Geyskes, G.G.</creator><creator>Koomans, H.A.</creator><creator>Kaatee, R.</creator><creator>Beek, F.J.A.</creator><creator>Mali, W.P.Th.M.</creator><general>Elsevier Ltd</general><general>Lancet</general><general>Elsevier Limited</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>0TT</scope><scope>0TZ</scope><scope>0U~</scope><scope>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8C2</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KB~</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>19950909</creationdate><title>Transluminal vascular stent for ostial atherosclerotic renal artery stenosis</title><author>van de Ven, P.J.G. ; Beutler, J.J. ; Geyskes, G.G. ; Koomans, H.A. ; Kaatee, R. ; Beek, F.J.A. ; Mali, W.P.Th.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-3e906e19dfb2a31d7b64648333619fc735f6421f1feb2b132bbc00df75e774733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon</topic><topic>Arteriosclerosis - diagnostic imaging</topic><topic>Arteriosclerosis - physiopathology</topic><topic>Arteriosclerosis - therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Pressure</topic><topic>Catheterization - adverse effects</topic><topic>Creatinine - blood</topic><topic>Diseases of the cardiovascular system</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Academic</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van de Ven, P.J.G.</au><au>Beutler, J.J.</au><au>Geyskes, G.G.</au><au>Koomans, H.A.</au><au>Kaatee, R.</au><au>Beek, F.J.A.</au><au>Mali, W.P.Th.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transluminal vascular stent for ostial atherosclerotic renal artery stenosis</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>1995-09-09</date><risdate>1995</risdate><volume>346</volume><issue>8976</issue><spage>672</spage><epage>674</epage><pages>672-674</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>We implanted transluminal stents in 24 hypertensive patients with a critical atherosclerotic ostial renal artery stenosis (28 arteries). Immediate revascularisation was successful in all. Follow-up angiography at 6 months, available in 18 patients, revealed restenosis twice. In another patient restenosis was suspected and confirmed by angiography at 2 months. Hence, the total restenosis rate was 3 of 19 patients (16%) and 3 of 23 arteries (13%). Two patients developed renal insufficiency due to cholesterol embolism. In the remaining 22 patients renal function improved (n=8) or stabilised (n=14). Although all had to resume antihypertensive treatment, blood pressure normalised in 15 patients, improved in one, remained unchanged in five and worsened in one.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>7658821</pmid><doi>10.1016/S0140-6736(95)92283-0</doi><tpages>3</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Angioplasty, Balloon Arteriosclerosis - diagnostic imaging Arteriosclerosis - physiopathology Arteriosclerosis - therapy Biological and medical sciences Blood Pressure Catheterization - adverse effects Creatinine - blood Diseases of the cardiovascular system Humans Hypertension Medical research Medical sciences Middle Aged Radiography Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recurrence Renal Artery Obstruction - diagnostic imaging Renal Artery Obstruction - etiology Renal Artery Obstruction - physiopathology Renal Artery Obstruction - therapy Renal function Renal Insufficiency - etiology Stents - adverse effects Transplants & implants |
| title | Transluminal vascular stent for ostial atherosclerotic renal artery stenosis |
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