Renal artery stenosis treated with stent deployment: Indications, technique, and outcome for 108 patients Julio A. Rodriguez-Lopez, MD, Alan Werner,

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Presentation transcript:

Renal artery stenosis treated with stent deployment: Indications, technique, and outcome for 108 patients Julio A. Rodriguez-Lopez, MD, Alan Werner, MD, Lance I. Ray, MD, Christos Verikokos, MD, Luis J. Torruella, MD, Edward Martinez, MD, Edward B. Diethrich, MD Journal of Vascular Surgery Volume 29, Issue 4, Pages 617-624 (April 1999) DOI: 10.1016/S0741-5214(99)70306-X Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 1 Typical ostial lesion in hypertensive patient. A, Preoperative angiogram. B, Angiogram after placement of Palmaz stent P154 (1.5 cm), dilated with a 6-mm balloon. Journal of Vascular Surgery 1999 29, 617-624DOI: (10.1016/S0741-5214(99)70306-X) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 2 Typical nonostial (ostial-adjacent) lesion. A, Preoperative angiogram. B, Angiogram after Palmaz stent P154 (1.5 cm) deployment. Journal of Vascular Surgery 1999 29, 617-624DOI: (10.1016/S0741-5214(99)70306-X) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 3 Left renal and accessory renal artery stenosis. A, Preoperative angiogram; tight lesion of left renal artery (hardly visualized; arrow); 90% stenoses of accessory renal artery. B, Stenting of upper renal artery with P-154 Palmaz stent; accessory renal ostial lesion still untreated (arrow). C, Postoperative angiogram after deployment of one stent in each left renal artery. Journal of Vascular Surgery 1999 29, 617-624DOI: (10.1016/S0741-5214(99)70306-X) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 4 Graphic representation of primary cumulative patency rate. Journal of Vascular Surgery 1999 29, 617-624DOI: (10.1016/S0741-5214(99)70306-X) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 5 Graphic representation of secondary cumulative patency rate. Journal of Vascular Surgery 1999 29, 617-624DOI: (10.1016/S0741-5214(99)70306-X) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 6 Follow-up examination at 22 months of left renal artery stent in patient who is asymptomatic. Sign of intimal hyperplasia in adequate preserved lumen is noted. Renal/aortic ratio is 2.0. Journal of Vascular Surgery 1999 29, 617-624DOI: (10.1016/S0741-5214(99)70306-X) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions