Surgical repair of a 29-year-old woman's left coronary artery with an anomalous origin from the pulmonary artery was performed by reimplantation of the left main artery into the aorta, together with coronary artery bypass grafting. Subsequent stenosis of the reimplanted left main artery was treated
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
No coin nor oath required. For personal study only.
✦ 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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