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CardioVascular and Interventional Radiology

, Volume 26, Issue 1, pp 46–51 | Cite as

Percutaneous Transluminal Angioplasty of Dysplastic Stenoses of the Renal Artery: Results on 70 Adults

  • Bruno de Fraissinette
  • Jean Marc Garcier
  • Valérie Dieu
  • Reza Mofid
  • Anne Ravel
  • Jean Yves Boire
  • Louis Boyer

Purpose: Retrospective analysis of the dilatation (PTRA) of renal arterial dysplastic stenosis (RADS). Methods: Seventy patients suffering from hypertension (87 RADS) were treated at our institution for medial (83%) or non-classified fibrodysplasias (17%). Four patients suffered from renal insufficiency. Two endoprostheses were implanted. We evaluated blood pressure with the USCSRH criteria and renal insufficiency with the Martin criteria. Results: Ninety-five percent technical success and 87.9% clinical success for blood pressure were obtained, with worse results for patients older than 57 years or with a history of hypertension greater than 9 years. Results were better when the RADS was responsible for an ipsilateral renal atrophy or for poorly controlled hypertension. No renal insufficiency worsened during the follow-up. Conclusion: PTRA is a first-line treatment for renovascular hypertension caused by RADS. The results were encouraging despite a high average age of the subjects and frequent associated extrarenal vascular lesions.

Keywords

Blood Pressure Hypertension Retrospective Analysis Renal Artery Renal Insufficiency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag New York, Inc. 2002

Authors and Affiliations

  • Bruno de Fraissinette
    • 1
  • Jean Marc Garcier
    • 1
  • Valérie Dieu
    • 1
  • Reza Mofid
    • 1
  • Anne Ravel
    • 1
  • Jean Yves Boire
    • 1
  • Louis Boyer
    • 1
  1. 1.Radiology Department, University Hospital, BP 69-63003 Clermont-Ferrand, FranceFRANCE

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