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Renal Artery Stenting Is No Longer Indicated After ASTRAL: Pros and Cons

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References

  1. Plouin PF, Chatellier G, Darne B, Raynaud A (1998) Blood pressure outcome of angioplasty in atherosclerotic renal artery stenosis: a randomized trial. Essai Multicentrique Medicaments vs Angioplastie (EMMA) Study Group. Hypertension 31:823–829

    CAS  PubMed  Google Scholar 

  2. Webster J, Marshall F, Abdalla M, et al. 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. J Hum Hypertens 12:329–335

  3. van Jaarsveld BC, Krijnen P, Pieterman H et al (2000) The effect of balloon angioplasty on hypertension in atherosclerotic renal-artery stenosis. Dutch Renal Artery Stenosis Intervention Cooperative Study Group. N Engl J Med 342:1007–1014

    Article  PubMed  Google Scholar 

  4. Nordmann AJ, Woo K, Parkes R, Logan AG (2003) Balloon angioplasty or medical therapy for hypertensive patients with atherosclerotic renal artery stenosis? A meta-analysis of randomized controlled trials. Am J Med 114:44–50

    Article  PubMed  Google Scholar 

  5. Bax L, Woittiez AJ, Kouwenberg HJ et al (2009) Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial. Ann Intern Med 150(840–848):W150–W151

    Google Scholar 

  6. Wheatley K, Ives N, Gray R et al (2009) Revascularization versus medical therapy for renal-artery stenosis. N Engl J Med 361:1953–1962

    Article  PubMed  Google Scholar 

  7. White CJ (2010) Kiss my astral: one seriously flawed study of renal stenting after another. Cathet Cardiovasc Interv 75:305–307

    Article  Google Scholar 

  8. Cooper CJ, Murphy TP, Matsumoto A et al (2006) Stent revascularization for the prevention of cardiovascular and renal events among patients with renal artery stenosis and systolic hypertension: rationale and design of the CORAL trial. Am Heart J 152:59–66

    Article  PubMed  Google Scholar 

  9. Schwarzwalder U, Hauk M, Zeller T (2009) RADAR―a randomised, multi-centre, prospective study comparing best medical treatment versus best medical treatment plus renal artery stenting in patients with haemodynamically relevant atherosclerotic renal artery stenosis. Trials 10:60. doi:10.1186/1745-6215-10-60

    Article  PubMed  Google Scholar 

  10. Zierler RE, Bergelin RO, Isaacson JA et al (1994) Natural history of renal atherosclerotic renal artery stenosis: a prospective study with duplex ultrasonography. J Vasc Surg 19:250–257

    CAS  PubMed  Google Scholar 

  11. Kalra PA, Guo H, Kausz AT et al (2005) Atherosclerotic renovascular disease in United States patients aged 67 years or older: risk factors, revascularization, and prognosis. Kidney Int 68:293–301

    Article  PubMed  Google Scholar 

  12. Leertouwer TC, Gussenhoven EJ, Bosch JL et al (2000) Stent placement for renal artery stenosis: where do we stand? A meta-analysis. Radiology 216:78–85

    CAS  PubMed  Google Scholar 

  13. Sapoval M, Tamari I, Goffette P et al (2010) One year clinical outcomes of renal artery stenting: the results of the ODORI registry. Cardiovasc Intervent Radiol 33:475–483

    Article  CAS  PubMed  Google Scholar 

  14. Plouin PF, Chatellier G, Darne B et al (1988) Blood pressure outcome of angioplasty in atherosclerotic renal artery stenosis: a randomized trial. Essai Multicentrique edicaments vs Angioplastie (EMMA) Study group. Hypertension 31:823–829

    Google Scholar 

  15. Webster J, Marshall F, Abdalla M et al (1988) Randomised comparison of percutaneous angioplasty vs. continued medical therapy for hypertensive patients with atheromatous renal artery stenosis. J Hum Hypertens 12:329–335

    Article  Google Scholar 

  16. van Jaarsveld BC, Krijnen P, Pietermann H et al (2000) The effect of balloon angioplasty on hypertension in atherosclerotic renal-artery stenosis. N Engl J Med 342:1007–1014

    Article  PubMed  Google Scholar 

  17. Ives NJ, Wheatley K, Stowe RL et al (2003) Continuing uncertainty about the value of percutaneous revascularization in atherosclerotic renovascular disease: a meta-analysis of randomized trials. Nephrol Dial Transplant 18:298–304

    Article  PubMed  Google Scholar 

  18. Bax L, Woitiezz AJJ, Kouwenberg HJ et al (2009) Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function. A randomized trial. Ann Intern Med 150:840–848

    PubMed  Google Scholar 

  19. Wheatley K, Ives N, Gray R et al (2009) Revascularization versus medical therapy for renal artery stenosis. N Engl J Med 361:1953-1962

    Article  PubMed  Google Scholar 

  20. White JC (2010) Kiss my Astral: one seriously flawed study of renal stenting after another. Catheter Cardiovasc Interv 75:305–307

    Article  PubMed  Google Scholar 

  21. Cooper CJ, Murphy TP (2007) Is renal artery stenting the correct treatment of renal artery stenosis? The case for renal artery stenting for treatment of renal artery stenosis. Circulation 115:263–270

    Article  PubMed  Google Scholar 

  22. Balk E, Raman G, Chung M et al (2006) Effectiveness of management strategies for renal artery stenosis: a systematic review. Ann Intern Med 145:901–912

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Hospital Lüdenscheid, 58515, Lüdenscheid, Germany

    Heiko Alfke

  2. Department of Internal Medicine–Nephrology, Hospital Minden, 32429, Minden, Germany

    Jörg Radermacher

Authors
  1. Heiko Alfke
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  2. Jörg Radermacher
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Correspondence to Heiko Alfke.

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Alfke, H., Radermacher, J. Renal Artery Stenting Is No Longer Indicated After ASTRAL: Pros and Cons. Cardiovasc Intervent Radiol 33, 883–886 (2010). https://doi.org/10.1007/s00270-010-9939-2

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  • DOI: https://doi.org/10.1007/s00270-010-9939-2

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