| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Vascular and Interventional Radiology |
1 From the Departments of Radiology (T.C.L., L.C.v.D.), Internal Medicine (T.C.L., B.C.v.J., J.D., A.J.M.i.t.V.), Cardiology (E.J.G.), Epidemiology and Biostatistics (J.L.B.), and the Interuniversity Cardiology Institute of the Netherlands (E.J.G.), Erasmus University Rotterdam (Ee 2312), Dr. Molewaterplein 50, 3015 GE Rotterdam, the Netherlands; and the Department of Health Policy and Management, Keio University, Tokyo, Japan (J.L.B.). Received January 27, 1999; revision requested April 1; final revision received September 29; accepted October 25. T.C.L. supported in part by grants from a Revolving Fund (1996-26) of the Erasmus University Medical Center Rotterdam and Cordis, a Johnson & Johnson Company; E.J.G. supported in part by a grant from the Interuniversity Cardiology Institute of the Netherlands. Address correspondence to E.J.G. (e-mail: leertouwer@tch.fgg.eur.nl).
PURPOSE: To perform a meta-analysis of renal arterial stent placement in comparison with renal percutaneous transluminal angioplasty (PTA) in patients with renal arterial stenosis.
MATERIALS AND METHODS: Studies dealing with renal arterial stent placement (14 articles; 678 patients) and renal PTA (10 articles; 644 patients) published up to August 1998 were selected. A random-effects model was used to pool the data.
RESULTS: Renal arterial stent placement proved highly successful, with an initial adequate performance in 98% and major complications in 11%. The overall cure rate for hypertension was 20%, whereas hypertension was improved in 49%. Renal function improved in 30% and stabilized in 38% of patients. The restenosis rate at follow-up of 6–29 months was 17%. Stent placement had a higher technical success rate and a lower restenosis rate than did renal PTA (98% vs 77% and 17% vs 26%, respectively; P < .001). The complication rate was not different between the two treatments. The cure rate for hypertension was higher and the improvement rate for renal function was lower after stent placement than after renal PTA (20% vs 10% and 30% vs 38%, respectively; P < .001).
CONCLUSION: Renal arterial stent placement is technically superior and clinically comparable to renal PTA alone.
Index terms: Arteries, grafts and prostheses, 961.1286 • Hypertension, renovascular, 81.72 • Renal arteries, stenosis or obstruction, 961.72 • Renal arteries, transluminal angioplasty, 961.454 • Stents and prostheses, 961.1286
This article has been cited by other articles:
|
|
 |
|
  G. J Dubel and T. P Murphy The role of percutaneous revascularization for renal artery stenosis Vascular Medicine, May 1, 2008; 13(2): 141 - 156. [Abstract] [PDF]
|
|
|
|
 |
|
 J. Tan, R. Filobbos, G. Raghunathan, T. Nicholson, R. Fowler, M. Wright, and D. Eadington Efficacy of renal artery angioplasty and stenting in a solitary functioning kidney Nephrol. Dial. Transplant., July 1, 2007; 22(7): 1916 - 1919. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. J. Cooper and T. P. Murphy The Case for Renal Artery Stenting for Treatment of Renal Artery Stenosis Circulation, January 16, 2007; 115(2): 263 - 270. [Full Text] [PDF]
|
|
|
|
|
|
C. J. White Catheter-Based Therapy for Atherosclerotic Renal Artery Stenosis Circulation, March 21, 2006; 113(11): 1464 - 1473. [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Silva, C. J. White, T. J. Collins, J. S. Jenkins, M. E. Andry, J. P. Reilly, and S. R. Ramee Endovascular Therapy for Chronic Mesenteric Ischemia J. Am. Coll. Cardiol., March 7, 2006; 47(5): 944 - 950. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. M. Cheung, J. Hegarty, and P. A. Kalra Dilemmas in the management of renal artery stenosis Br. Med. Bull., September 7, 2005; 73-74(1): 35 - 55. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Ota, K. Takase, H. Rikimaru, M. Tsuboi, T. Yamada, A. Sato, S. Higano, T. Ishibashi, and S. Takahashi Quantitative Vascular Measurements in Arterial Occlusive Disease RadioGraphics, September 1, 2005; 25(5): 1141 - 1158. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. de Silva, N. P. Nikitin, S. Bhandari, A. Nicholson, A. L. Clark, and J. G.F. Cleland Atherosclerotic renovascular disease in chronic heart failure: should we intervene? Eur. Heart J., August 2, 2005; 26(16): 1596 - 1605. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. O. Schoenberg, J. Rieger, C. H. Weber, H. J. Michaely, T. Waggershauser, C. Ittrich, O. Dietrich, and M. F. Reiser High-Spatial-Resolution MR Angiography of Renal Arteries with Integrated Parallel Acquisitions: Comparison with Digital Subtraction Angiography and US Radiology, May 1, 2005; 235(2): 687 - 698. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Silva Jr Expert Commentary Perspectives in Vascular Surgery and Endovascular Therapy, December 1, 2004; 16(4): 276 - 279. [PDF]
|
|
|
|
|
|
E. L. Chaikof Expert Commentary Perspectives in Vascular Surgery and Endovascular Therapy, December 1, 2004; 16(4): 295 - 297. [PDF]
|
|
|
|
 |
|
 Z. Morvay, E. Nagy, R. Bagi, G. Abraham, R. Sipka, and A. Palko Sonographic Follow-up After Visceral Artery Stenting J. Ultrasound Med., August 1, 2004; 23(8): 1057 - 1064. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Ayerdi and K. J. Hodgson Balloon Angioplasty and Stenting for Renovascular Occlusive Disease Perspectives in Vascular Surgery and Endovascular Therapy, March 1, 2004; 16(1): 25 - 38. [Abstract] [PDF]
|
|
|
|
 |
|
 S. Bruno, G. Remuzzi, and P. Ruggenenti Transplant Renal Artery Stenosis J. Am. Soc. Nephrol., January 1, 2004; 15(1): 134 - 141. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Mallouhi, M. Rieger, B. Czermak, M. C. Freund, P. Waldenberger, and W. R. Jaschke Volume-Rendered Multidetector CT Angiography: Noninvasive Follow-Up of Patients Treated with Renal Artery Stents Am. J. Roentgenol., January 1, 2003; 180(1): 233 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. H Gray, J. W Olin, M. B. Childs, T. M Sullivan, and J M. Bacharach Clinical benefit of renal artery angioplasty with stenting for the control of recurrent and refractory congestive heart failure Vascular Medicine, November 1, 2002; 7(4): 275 - 279. [Abstract] [PDF]
|
|
|
|
|
|
J. V. Behar, R. C. Nelson, J. P. Zidar, D. M. DeLong, and T. P. Smith Thin-Section Multidetector CT Angiography of Renal Artery Stents Am. J. Roentgenol., May 1, 2002; 178(5): 1155 - 1159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-Y. Lee and E. G. Grant Sonography in Renovascular Hypertension J. Ultrasound Med., April 1, 2002; 21(4): 431 - 441. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.-F. PLOUIN, P. ROSSIGNOL, and G. BOBRIE Atherosclerotic Renal Artery Stenosis: To Treat Conservatively, to Dilate, to Stent, or to Operate? J. Am. Soc. Nephrol., October 1, 2001; 12(10): 2190 - 2196. [Full Text] [PDF]
|
|
|
|
|
|
A. Mallouhi, M. Schocke, W. Judmaier, C. Wolf, A. Dessl, B. V. Czermak, P. Waldenberger, and W. R. Jaschke 3D MR Angiography of Renal Arteries: Comparison of Volume Rendering and Maximum Intensity Projection Algorithms Radiology, May 1, 2002; 223(2): 509 - 516. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
