Ruth L. Bush, MDa, Sasan Najibi, MDa, M. Julia MacDonald, RNa, Peter H

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Date of download: 9/18/2016 Copyright © The American College of Cardiology. All rights reserved. From: Percutaneous Treatment of Protected and Unprotected.

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Presentation transcript:

Endovascular revascularization of renal artery stenosis: Technical and clinical results Ruth L. Bush, MDa, Sasan Najibi, MDa, M.Julia MacDonald, RNa, Peter H. Lin, MDa, Elliot L. Chaikof, MD, PhDa, Louis G. Martin, MDb, Alan B. Lumsden, MDa Journal of Vascular Surgery Volume 33, Issue 5, Pages 1041-1049 (May 2001) DOI: 10.1067/mva.2001.111486 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Survival (dialysis-free) curve of 69 patients after renal artery stent deployment. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A, Preoperative angiogram shows bilateral renal artery stenoses in 65-year-old woman with increasing BP and serum creatinine level. B, Angiogram after dilation of right renal artery with 5-mm balloon, residual pressure gradient of 12 mm Hg. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Right renal artery after guide wire was removed noted to have postangioplasty dissection. Left renal artery was dilated with 5-mm balloon. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 A and B, Angiogram obtained 4 months later when patient had recurrent hypertension after initial improvement shows bilateral restenoses. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Angioplasty of left renal artery with 5-mm balloon. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 6 Postoperative angiogram after deployment of stent in left renal artery. No pressure gradient across stent. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 7 A, Angioplasty of right renal artery with 6-mm balloon. B, Stent deployed close to branch vessels. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 8 The same woman presented 5 months later (9 months from her original intervention) with uncontrolled hypertension. Angiogram showing moderate right renal artery intrastent stenosis and severe left intrastent stenosis. She underwent a successful bilateral renal aortorenal bypass graft. Journal of Vascular Surgery 2001 33, 1041-1049DOI: (10.1067/mva.2001.111486) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions