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Ostial renal artery stent placement for atherosclerotic renal artery stenosis in patients with coronary artery disease

✍ Scribed by Gross, C. Michael ;Krämer, Jochen ;Waigand, Jürgen ;Uhlich, Frank ;Olthoff, Heike ;Luft, Friedrich C. ;Dietz, Rainer


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
172 KB
Volume
45
Category
Article
ISSN
0098-6569

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✦ Synopsis


To test the utility of endoprosthetic treatment for ostial renal artery stenosis, and to examine blood pressure and its treatment, serum creatinine, and restenosis rate, 44 ostial renal stent placements were performed in 30 patients with concomitant coronary artery disease, arterial hypertension, and the indication for angiotensin converting enzyme (ACE) therapy. There was a marked decrease in systolic and diastolic blood pressure (163 ؎ 30 to 145 ؎ 17 and 93 ؎ 18 to 83 ؎ 10 mm Hg; P F 0.008) with a decrease in number of medication (3.2 ؎ 0.9 to 2.8 ؎ 1.0; P ‫؍‬ 0.005). In 5 out of 8 patients not receiving an ACE inhibitor, this drug could be added. Serum creatinine changed from 1.46 ؎ 0.7 mg/dl to 1.39 ؎ 0.58 mg/dl (P ‫؍‬ ns). Three patients showed restenosis (12.5%). Ostial stenting lowers blood pressure, decreases antihypertensive drugs and increases medication flexibility.


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