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

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Presentation on theme: "Ruth L. Bush, MDa, Sasan Najibi, MDa, M. Julia MacDonald, RNa, Peter H"— Presentation transcript:

1 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 (May 2001) DOI: /mva Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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

3 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  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 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  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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

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

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

9 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  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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