Peripheral Renal 1994-2001

How to do it
Endovascular Treatment of Renal Artery Stenosis: Technical Aspects, Long Term-Clinical Results and Restenosis-Rate
  by Zeller TH
  Click here to view the full article

Conference - CV Channel
Renal Revascularization  Click Here
with : Drs Sos, Katzen, McNamara, and Safian

<Review>
Renal-artery stenosis
Safian RD, et al.
N Engl J Med 2001;344:431-42
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11172181

Diagnostic tests for renal artery stenosis in patients suspected of having renovascular hypertension: a meta-analysis
Boudewijn G, et al.
Ann Intern Med 2001;135:401-11
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11560453 
Gadolinium enhanced MRA or contrast CT are the best ways to detect renal artery stenosis In unselected hypertensives, 1–5% will have renovascular hypertension. The gold standard for detection is considered to be invasive angiography. A survey of the literature on computed tomography (CT), magnetic resonance angiography (MRA), captopril enhanced scintigraphy, and ultrasonography concludes that gadolinium enhanced MRA and contrast enhanced CT are probably the best non-invasive ways to detect renal artery stenosis.

EDUCATION > CATH LAB PEARLS
"Renal artery stenting: technical considerations"
Accompanied by Dr Gary M Ansel, Dr Steven Yakubov presents a second Cath lab pearl, focusing this time on renal artery stenting in the setting of severe renal stenoses. Their dynamic angiograms are a technical achievement in their own right. See the images and follow the story at:
http://www.theheart.org/index.cfm?doc_id=18858

TCT 2001 Abstracts

Stenting for Posttransplant Renal Artery Stenosis Is Effective in Restoring Renal Dysfunction
Safety and Efficacy of Renal Artery Stenting in Patients with Severe Renal Artery Stenosis
Direct Stenting in the Treatment of Renal Artery Stenosis: Immediate and In-Hospital Results
Renal Artery Stenting Combined with Medical Therapy Controls Refractory Hypertension and Improves Renal Function

TCTMD Slide Sets

Diagnosis & Treatment of Renovascular Disease j. joye  
Endografts are Ready To Replace Open Surgical Repair in (All) Patients M. Marin  
Endovascular Evaluation and Management of Dialysis Associated Ischemic Steal Syndrome W. H. Julien  
From ISET: Indications for Intervention in Atherosclerotic Renal Artery Stenosis M. R. Jaff  
From ISET: Intervention In Renovascular Disease: Lessons Learned (The Hard Way) and New Technical Advances R. Vogelsang  
From ISET: Renal Artery Stenting - Is There a Role for Protecting Devices? M. Amor  
Interventional Therapies for Renovascular Disease S. S. Iyer  
Preparing for Complex Endovascular Procedures to be done in the Angiography Environment B. T. Katzen  
Renovascular Hypertension: Stent Placement in Unilateral Disease Should Be Reserved for Medical Failures G. Dorros  
Renal Aneurysm Treated with Stent Graft M. Wholey

* Renal FMD treated with balloon angioplasty, by C. J. White
http://www.tctmd.com/case-studies/one.html?study_id=1885

* Renal Stent Implantation #1, by G. S. Roubin
http://www.tctmd.com/case-studies/one.html?study_id=1521

* Renal Stent Implantation #2, by G. S. Roubin
http://www.tctmd.com/case-studies/one.html?study_id=1743

* Renal Artery Stenting and Renal Failure, by P. Watson 
http://www.tctmd.com/journal-synopses/one.html?synopsis_id=1741

* Angioplasty and hypertension in renal-artery stenosis, by B. van Jaarsveld 
http://www.tctmd.com/journal-synopses/one.html?synopsis_id=1180

Bifurcation renal stenting: applying coronary lessons to peripheral intervention
Drs Steven Marso and Vasant B Patel describe how applying the coronary angioplastic technique of bifurcation stenting to a patient with significant renal stenosis and variant renal artery anatomy may enhance the likelihood of preserving the patient's renal function.
A multimedia presentation with audio, text, electrocardiograms, angiograms, and transcript.
 http://www.theheart.org/index.cfm?doc_id=20095

Renal artery end-diastolic velocity and renal artery resistance index as predictors of outcome after renal stenting
Mukherjee D, et al.
Am J Cardiol 2001;88:1064-6
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11704015 

Angioplasty of atherosclerotic and fibromuscular renal artery stenosis: time course and predicting factors of the effects on renal function 
 
Airoldi F || Morganti A
  Am J Hypertens 2000;13:1210-7
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011078182 
  Click here to view the figure
Study on 27 hypertensive patients with 19 atherosclerotic and 11 fibromuscular significant renal artery stenoses successfully treated PTRA (in seven cases combined with a stent implantation). GFR of the stenotic and contralateral kidneys were studied after 5 days and 10 months. The study found that the time course of the improvement in GFR after angioplasty may differ in kidneys, depending on the etiology of the stenosis, in that in those with fibromuscular stenosis it was entirely apparent within 5 days whereas in those with atherosclerotic stenosis it required several months to be fully expressed.

Effect of renal artery stenting on renal function and size in patients with atherosclerotic renovascular disease
  Watson PS et al.
  Circulation 2000;102:1671-7
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011015346 
  Click here to view the article synopsis at TCTMD
In patients with chronic renal insufficiency and global obstructive atherosclerotic renovascular disease, renal artery stenting improves or stabilizes renal function and preserves kidney size.

Arterial stenting and balloon angioplasty in ostial atherosclerotic renovascular disease: a randomised trial
van de Ven PJ, et al.
Lancet 1999;353:282-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9929021 

Renal artery stenosis treated with stent deployment: indications, technique, and outcome for 108 patients
Rodriguez-Lopez JA, et al.
J Vasc Surg 1999;29:617-24.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10194488 

Management of renovascular disease: a review of renal artery stenting in ten studies
Isles CG, et al.
Qjm 1999;92:159-67.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10326075 

Stents in the treatment of renal artery stenosis: long-term follow-up
Henry M, et al.
J Endovasc Surg 1999;6:42-51.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10088889 

Use of cardiovascular procedures among black persons and white persons: a 7-year nationwide study in patients with renal disease
Daumit GL, et al.
Ann Intern Med 1999;130:173-82.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10049195 

Randomised comparison of percutaneous angioplasty vs continued medical therapy for hypertensive patients with atheromatous renal artery stenosis. Scottish and Newcastle Renal Artery Stenosis Collaborative Group
Webster J, et al.
J Hum Hypertens 1998;12:329-35.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9655655 

Blood pressure outcome of angioplasty in atherosclerotic renal artery stenosis: a randomized trial. Essai Multicentrique Medicaments vs Angioplastie (EMMA) Study Group
Plouin PF, et al.
Hypertension 1998;31:823-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9495267 

Atherosclerotic stenosis of the renal arteries. Indications for intervention
Jaff MR, et al.
Tex Heart Inst J 1998;25:34-9
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9566061 

Primary stenting of atherosclerotic renal artery ostial stenosis
Fiala LA, et al.
Ann Vasc Surg 1998;12:128-33.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9514229 

Four-year follow-up of Palmaz-Schatz stent revascularization as treatment for atherosclerotic renal artery stenosis
Dorros G, et al.
Circulation 1998;98:642-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9715856 

Percutaneous transluminal angioplasty for renovascular hypertension in children: initial and long-term results
Tyagi S, et al.
Pediatrics 1997;99:44-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8989336 

Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: a follow-up study with duplex ultrasonography
Tullis MJ, et al.
J Vasc Surg 1997;25:46-54.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9013907 

Stent angioplasty for renovascular disease associated with acute aortic dissection
Hata M, et al.
Ann Thorac Surg 1997;63:244-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8993282 

Treatment of renal angioplasty failure by percutaneous renal artery stenting with Palmaz stents: midterm technical and clinical results
Boisclair C, et al.
AJR Am J Roentgenol 1997;168:245-51.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8976953 

Percutaneous renal artery stent placement for hypertension and azotemia: pilot study
Rundback JH, et al.
Am J Kidney Dis 1996;28:214-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8768916 

The indications and results of percutaneous transluminal angioplasty and stenting in renal artery stenosis
Kidney DD, et al.
Semin Vasc Surg 1996;9:188-97.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8893417 

Effect of primary balloon expandable renal artery stents on long-term patency, renal function, and blood pressure in hypertensive and renal insufficient patients with renal artery stenosis
Iannone LA, et al.
Cathet Cardiovasc Diagn 1996;37:243-50.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8974797 

Stent placement in the renal artery: three-year experience with the Palmaz stent
Henry M, et al.
J Vasc Interv Radiol 1996;7:343-50.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8761809 

A four-year audit of interventional treatment for atheromatous renal artery stenosis
Donohoe P, et al.
Contrib Nephrol 1996;119:78-82
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8783595 

Renal artery stenosis managed by Palmaz stent insertion: technical and clinical outcome
MacLeod M, et al.
J Hypertens 1995;13:1791-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8903653 

Percutaneous transluminal angioplasty and surgery of the renal artery
Novick AC.
Eur J Vasc Surg 1994;8:1-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8307204 

Renovascular hypertension
Dillon MJ.
J Hum Hypertens 1994;8:367-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8064784 

Renal stents
Adams J.
Emerg Med Clin North Am 1994;12:749-58.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8062797