Atherosclerotic Renal Arterial Stenosis: Clinical Outcomes of Stent Placement for Hypertension and Renal Failure

Abstract

In atherosclerotic RAS, primary stent deployment has a high technical success rate, producing clinical benefits in the majority of patients when performed for resistant hypertension and recovery of renal function.

Effectiveness of Management Strategies for Renal Artery Stenosis: A Systematic Review

“…Evidence was weak owing to sparseness of data or disagreement among studies on other baseline factors and outcomes (Table 4), including the presence of bilateral disease among patients having revascularization (25,27,34,37,39,40,45) or among those enrolled in natural history studies (55,56); the degree of kidney function (20,51) No study that met eligibility criteria reported analyses of whether periprocedural interventions, such as different …”

Incidental Atherosclerotic Renal Artery Stenosis Diagnosed at Cardiac Catheterization: No Difference in Kidney Function with or without Stenting

“…While others have reported variable results in observational studies of the effects of renal artery stenting on kidney function [18,19,20,21,22,23,24,25], our study has a number of unique features which extend the existing knowledge base. This includes the nature of the cohort (incidentally diagnosed ARAS during clinically-driven cardiac catheterization), and the relatively large sample size and long follow-up in the majority of patients.…”

Delicate Percutaneous Renal Artery Stenting Minimizes Postoperative Renal Injury and Protects Kidney in Patients With Severe Atherosclerotic Renal Artery Stenosis and Impaired Renal Function

“…The percentage of patients exhibiting postoperative renal deterioration compared very favorably with those reported in the literature (Table IV). 2,3,[18][19][20][21][22][23][24][25] Benefits and complications of PTRAS: The benefits of renal stenting are demonstrated (Table IV) 2,3, [18][19][20][21][22][23][24][25] by showing long-term improvement or stabilization of renal function and preservation of renal size, 26,27) especially in patients with background renal dysfunction or bilateral arterial involvement. 20,28) In most of the reports, post-PTRAS blood pressure was either controlled or restored to normal.…”