Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: A follow-up study with duplex ultrasonography
Purpose: The short and long-term anatomic results of percutaneous transluminal renal angioplasty (PTRA) in the treatment of atherosclerotic renovascular disease have been poorly documented because of a lack of follow-up arteriography. The purpose of this study was to evaluate the anatomic results of...
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| Veröffentlicht in: | Journal of vascular surgery 1997-01, Vol.25 (1), p.46-54 |
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| creator | Tullis, Michael J. Zierler, R.Eugene Glickerman, David J. Bergelin, Robert O. Cantwell-Gab, Kim Strandness, D.Eugene |
| description | Purpose: The short and long-term anatomic results of percutaneous transluminal renal angioplasty (PTRA) in the treatment of atherosclerotic renovascular disease have been poorly documented because of a lack of follow-up arteriography. The purpose of this study was to evaluate the anatomic results of PTRA with serial duplex examinations.
Methods: The records of 41 patients who underwent 52 primary PTRA procedures and had subsequent duplex follow-up of at least 6 months were reviewed. After PTRA, renal arteries were classified as normal, |
| doi_str_mv | 10.1016/S0741-5214(97)70320-3 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78783569</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0741521497703203</els_id><sourcerecordid>78783569</sourcerecordid><originalsourceid>FETCH-LOGICAL-c407t-f1d445231ff1a3b60daddde7a0ea7bde0ee029b49cf64cf68c8a9f19e0f87fb93</originalsourceid><addsrcrecordid>eNqFkctuFDEQRS1EFCaBT4jkFYJFk_L0w202KIogIEVC4rG23HY5Y-RpN34k9Cfkr-l5KNssbEuuU3V16xJyweADA9Zd_gTesKpds-ad4O851Guo6hdkxUDwqutBvCSrJ-QVOUvpDwBjbc9PyakAVgvgK_L4A1PxOdFg6YRRl6xGDCXRHNWYfNm6UXmqxjsXJq9SnqkNkaq8wRiS9sudnaYR91TMGGeaMo4hufSRXi2w9-GhKtPyW8xMH1zeUFMmj__oIhtVCmO4i2razK_JiVU-4Zvje05-f_n86_prdfv95tv11W2lG-C5ssw0TbuumbVM1UMHRhljkCtAxQeDgAhrMTRC265ZTq97JSwTCLbndhD1OXl7mDvF8LdgynLrkkbvD8Yl73lft90ObA-gXqymiFZO0W1VnCUDuYtA7iOQu_1KweU-AlkvfRdHgTJs0Tx1HXe-1D8d6ri4vHcYZdIOR43GRdRZmuCeUfgPklucHA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78783569</pqid></control><display><type>article</type><title>Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: A follow-up study with duplex ultrasonography</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Tullis, Michael J. ; Zierler, R.Eugene ; Glickerman, David J. ; Bergelin, Robert O. ; Cantwell-Gab, Kim ; Strandness, D.Eugene</creator><creatorcontrib>Tullis, Michael J. ; Zierler, R.Eugene ; Glickerman, David J. ; Bergelin, Robert O. ; Cantwell-Gab, Kim ; Strandness, D.Eugene ; From the Division of Vascular Surgery and the Department of Radiology, University of Washington, and Seattle Veterans Affairs Medical Center</creatorcontrib><description>Purpose: The short and long-term anatomic results of percutaneous transluminal renal angioplasty (PTRA) in the treatment of atherosclerotic renovascular disease have been poorly documented because of a lack of follow-up arteriography. The purpose of this study was to evaluate the anatomic results of PTRA with serial duplex examinations.
Methods: The records of 41 patients who underwent 52 primary PTRA procedures and had subsequent duplex follow-up of at least 6 months were reviewed. After PTRA, renal arteries were classified as normal, <60% stenosis, ≥60% stenosis, or occluded on the basis of previously validated duplex criteria.
Results: The study group included 26 men and 15 women with a mean age of 65 years, who were observed for a mean interval of 34 months. Endovascular stents were placed in 12 of the 52 arteries. The initial post-PTRA renal artery stenosis classification (based on arteriography or duplex scan) was normal in 23, <60% in 19, and ≥60% in 10. The cumulative incidence of restenosis from normal to ≥60% was 13% at 1 year and 19% at 2 years. The cumulative incidence of restenosis from <60% to ≥60% was 44% at 1 year and 55% at 2 years. The cumulative incidence of progression from ≥60% to occlusion was 10% at 2 years. Although 83% of the 12 stented arteries and only 33% of the 40 nonstented arteries were normal immediately after PTRA, after 1 year the stented renal arteries showed a 44% restenosis rate, whereas the nonstented renal arteries showed a 18% restenosis rate (p = 0.087).
Conclusions: Restenosis after PTRA for atherosclerotic disease is relatively common and correlates with the initial anatomic result. Although PTRA with stent placement yields superior immediate technical results, the high early restenosis rate is disturbing. (J Vasc Surg 1997;25:46-54.)</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/S0741-5214(97)70320-3</identifier><identifier>PMID: 9013907</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Aged ; Angioplasty, Balloon ; Arteriosclerosis - complications ; Arteriosclerosis - diagnostic imaging ; Disease Progression ; Female ; Follow-Up Studies ; Humans ; Male ; Medical Records ; Middle Aged ; Recurrence ; Renal Artery Obstruction - diagnostic imaging ; Renal Artery Obstruction - etiology ; Renal Artery Obstruction - therapy ; Retrospective Studies ; Severity of Illness Index ; Survival Analysis ; Treatment Outcome ; Ultrasonography, Doppler</subject><ispartof>Journal of vascular surgery, 1997-01, Vol.25 (1), p.46-54</ispartof><rights>1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-f1d445231ff1a3b60daddde7a0ea7bde0ee029b49cf64cf68c8a9f19e0f87fb93</citedby><cites>FETCH-LOGICAL-c407t-f1d445231ff1a3b60daddde7a0ea7bde0ee029b49cf64cf68c8a9f19e0f87fb93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0741-5214(97)70320-3$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9013907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tullis, Michael J.</creatorcontrib><creatorcontrib>Zierler, R.Eugene</creatorcontrib><creatorcontrib>Glickerman, David J.</creatorcontrib><creatorcontrib>Bergelin, Robert O.</creatorcontrib><creatorcontrib>Cantwell-Gab, Kim</creatorcontrib><creatorcontrib>Strandness, D.Eugene</creatorcontrib><creatorcontrib>From the Division of Vascular Surgery and the Department of Radiology, University of Washington, and Seattle Veterans Affairs Medical Center</creatorcontrib><title>Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: A follow-up study with duplex ultrasonography</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Purpose: The short and long-term anatomic results of percutaneous transluminal renal angioplasty (PTRA) in the treatment of atherosclerotic renovascular disease have been poorly documented because of a lack of follow-up arteriography. The purpose of this study was to evaluate the anatomic results of PTRA with serial duplex examinations.
Methods: The records of 41 patients who underwent 52 primary PTRA procedures and had subsequent duplex follow-up of at least 6 months were reviewed. After PTRA, renal arteries were classified as normal, <60% stenosis, ≥60% stenosis, or occluded on the basis of previously validated duplex criteria.
Results: The study group included 26 men and 15 women with a mean age of 65 years, who were observed for a mean interval of 34 months. Endovascular stents were placed in 12 of the 52 arteries. The initial post-PTRA renal artery stenosis classification (based on arteriography or duplex scan) was normal in 23, <60% in 19, and ≥60% in 10. The cumulative incidence of restenosis from normal to ≥60% was 13% at 1 year and 19% at 2 years. The cumulative incidence of restenosis from <60% to ≥60% was 44% at 1 year and 55% at 2 years. The cumulative incidence of progression from ≥60% to occlusion was 10% at 2 years. Although 83% of the 12 stented arteries and only 33% of the 40 nonstented arteries were normal immediately after PTRA, after 1 year the stented renal arteries showed a 44% restenosis rate, whereas the nonstented renal arteries showed a 18% restenosis rate (p = 0.087).
Conclusions: Restenosis after PTRA for atherosclerotic disease is relatively common and correlates with the initial anatomic result. Although PTRA with stent placement yields superior immediate technical results, the high early restenosis rate is disturbing. (J Vasc Surg 1997;25:46-54.)</description><subject>Aged</subject><subject>Angioplasty, Balloon</subject><subject>Arteriosclerosis - complications</subject><subject>Arteriosclerosis - diagnostic imaging</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Records</subject><subject>Middle Aged</subject><subject>Recurrence</subject><subject>Renal Artery Obstruction - diagnostic imaging</subject><subject>Renal Artery Obstruction - etiology</subject><subject>Renal Artery Obstruction - therapy</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctuFDEQRS1EFCaBT4jkFYJFk_L0w202KIogIEVC4rG23HY5Y-RpN34k9Cfkr-l5KNssbEuuU3V16xJyweADA9Zd_gTesKpds-ad4O851Guo6hdkxUDwqutBvCSrJ-QVOUvpDwBjbc9PyakAVgvgK_L4A1PxOdFg6YRRl6xGDCXRHNWYfNm6UXmqxjsXJq9SnqkNkaq8wRiS9sudnaYR91TMGGeaMo4hufSRXi2w9-GhKtPyW8xMH1zeUFMmj__oIhtVCmO4i2razK_JiVU-4Zvje05-f_n86_prdfv95tv11W2lG-C5ssw0TbuumbVM1UMHRhljkCtAxQeDgAhrMTRC265ZTq97JSwTCLbndhD1OXl7mDvF8LdgynLrkkbvD8Yl73lft90ObA-gXqymiFZO0W1VnCUDuYtA7iOQu_1KweU-AlkvfRdHgTJs0Tx1HXe-1D8d6ri4vHcYZdIOR43GRdRZmuCeUfgPklucHA</recordid><startdate>199701</startdate><enddate>199701</enddate><creator>Tullis, Michael J.</creator><creator>Zierler, R.Eugene</creator><creator>Glickerman, David J.</creator><creator>Bergelin, Robert O.</creator><creator>Cantwell-Gab, Kim</creator><creator>Strandness, D.Eugene</creator><general>Mosby, Inc</general><scope>6I.</scope><scope>AAFTH</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></search><sort><creationdate>199701</creationdate><title>Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: A follow-up study with duplex ultrasonography</title><author>Tullis, Michael J. ; Zierler, R.Eugene ; Glickerman, David J. ; Bergelin, Robert O. ; Cantwell-Gab, Kim ; Strandness, D.Eugene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-f1d445231ff1a3b60daddde7a0ea7bde0ee029b49cf64cf68c8a9f19e0f87fb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon</topic><topic>Arteriosclerosis - complications</topic><topic>Arteriosclerosis - diagnostic imaging</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical Records</topic><topic>Middle Aged</topic><topic>Recurrence</topic><topic>Renal Artery Obstruction - diagnostic imaging</topic><topic>Renal Artery Obstruction - etiology</topic><topic>Renal Artery Obstruction - therapy</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tullis, Michael J.</creatorcontrib><creatorcontrib>Zierler, R.Eugene</creatorcontrib><creatorcontrib>Glickerman, David J.</creatorcontrib><creatorcontrib>Bergelin, Robert O.</creatorcontrib><creatorcontrib>Cantwell-Gab, Kim</creatorcontrib><creatorcontrib>Strandness, D.Eugene</creatorcontrib><creatorcontrib>From the Division of Vascular Surgery and the Department of Radiology, University of Washington, and Seattle Veterans Affairs Medical Center</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tullis, Michael J.</au><au>Zierler, R.Eugene</au><au>Glickerman, David J.</au><au>Bergelin, Robert O.</au><au>Cantwell-Gab, Kim</au><au>Strandness, D.Eugene</au><aucorp>From the Division of Vascular Surgery and the Department of Radiology, University of Washington, and Seattle Veterans Affairs Medical Center</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: A follow-up study with duplex ultrasonography</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>1997-01</date><risdate>1997</risdate><volume>25</volume><issue>1</issue><spage>46</spage><epage>54</epage><pages>46-54</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><abstract>Purpose: The short and long-term anatomic results of percutaneous transluminal renal angioplasty (PTRA) in the treatment of atherosclerotic renovascular disease have been poorly documented because of a lack of follow-up arteriography. The purpose of this study was to evaluate the anatomic results of PTRA with serial duplex examinations.
Methods: The records of 41 patients who underwent 52 primary PTRA procedures and had subsequent duplex follow-up of at least 6 months were reviewed. After PTRA, renal arteries were classified as normal, <60% stenosis, ≥60% stenosis, or occluded on the basis of previously validated duplex criteria.
Results: The study group included 26 men and 15 women with a mean age of 65 years, who were observed for a mean interval of 34 months. Endovascular stents were placed in 12 of the 52 arteries. The initial post-PTRA renal artery stenosis classification (based on arteriography or duplex scan) was normal in 23, <60% in 19, and ≥60% in 10. The cumulative incidence of restenosis from normal to ≥60% was 13% at 1 year and 19% at 2 years. The cumulative incidence of restenosis from <60% to ≥60% was 44% at 1 year and 55% at 2 years. The cumulative incidence of progression from ≥60% to occlusion was 10% at 2 years. Although 83% of the 12 stented arteries and only 33% of the 40 nonstented arteries were normal immediately after PTRA, after 1 year the stented renal arteries showed a 44% restenosis rate, whereas the nonstented renal arteries showed a 18% restenosis rate (p = 0.087).
Conclusions: Restenosis after PTRA for atherosclerotic disease is relatively common and correlates with the initial anatomic result. Although PTRA with stent placement yields superior immediate technical results, the high early restenosis rate is disturbing. (J Vasc Surg 1997;25:46-54.)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>9013907</pmid><doi>10.1016/S0741-5214(97)70320-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Angioplasty, Balloon Arteriosclerosis - complications Arteriosclerosis - diagnostic imaging Disease Progression Female Follow-Up Studies Humans Male Medical Records Middle Aged Recurrence Renal Artery Obstruction - diagnostic imaging Renal Artery Obstruction - etiology Renal Artery Obstruction - therapy Retrospective Studies Severity of Illness Index Survival Analysis Treatment Outcome Ultrasonography, Doppler |
| title | Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: A follow-up study with duplex ultrasonography |
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