Jensen G, Zachrisson Bo-F, Delin K, Volkmann R, Aurell M
Treatment of renovascular hypertension: One year results of
renal angioplasty
Kidney Int
(Dec) 48:1936-1945 1995
Percutaneous renal angioplasty (PTRA) was performed in 180 renal arteries in
137 patients over the period 1981-1991 in a single center in Goteborg,
Sweden. 78% of patients had atherosclerotic vascular disease (AVD) and 22%
had fibromuscular dysplasia (FMD). Technical success was achieved in 82%
and
97% of arteries, respectively. Cure or improvement in hypertension occurred
in 64% of AVD and 86% of FMD patients overall. Most patients also had
improved or unchanged renal function. In patients with hypertension and
renal insufficiency (GFR < 30 ml/min/ 1.73 m2 BSA), only 20% of patients
had
improvement in hypertension; however, 50% of such patients had improvement
in
GFR. Stenosis recurrence rates at one year were 15% for AVD and 7% for
FMD.
PTRA may be the best first approach for all but ostial lesions.
(Leehey)
To go back use the BACK button on your browser.
Otherwise click on the desired link to this article below:
H: Special problems :
Renovascular hypertension