Renal Artery Reconstruction for Refractory Hypertension Caused by Congenital Renal Artery Deficiency

Dong, Mingyang; Pan, Dikang; Li, Jikuan; An, Yanbo; Dong, Ruoyu; Zhang, Jing; Yang, Zhongkai; Lv, Bonan; Shi, Xiaoming

doi:10.1016/j.avsg.2021.05.062

Cited by 1 publication

(1 citation statement)

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“…RAP was the most common cause of RAS, which can bring about unfavorable impact on human health, including renal insufficiency, renal hypertension, ischemic nephropathy, acute cardiovascular events and so on [ 25 – 29 ]. This study showed that people with high-risk anatomical factor (the greater renal artery angle A) and high-risk traditional factors (older age, hypertension, hypercholesterolemia) had the higher risks of RAP.…”

Section: Discussionmentioning

confidence: 99%

The renal artery-aorta angle associated with renal artery plaque: a retrospective analysis based on CT

Hai-bin

Yang

2023

BMC Med Imaging

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Purpose To investigate the relationship between renal artery anatomical configuration and renal artery plaque (RAP) based on 320-row CT. Methods The abdominal contrast-enhanced CT data from 210 patients was retrospectively analyzed. Among 210 patients, there were 118 patients with RAP and 92 patients with no RAP. The anatomical parameters between lesion group and control group were compared and analyzed by using t-test, χ2-test and logistic regression analysis. Results (1) There were statistical differences on age, hypertension, diabetes, hypertriglyceridemia and hypercholesterolemia between lesion group and control group. (2) The differences on the distribution and type and of RAP between lesion group and control group were statistically significant. The most common position was the proximal, and the most common type was calcified plaque. (3)There were significant statistical differences on the proximal diameter of renal artery and renal artery-aorta angle A between lesion group and control group. The differences on the other anatomical factors between two groups were not statistically significant. (4) The result of logistic regression analysis showed that right RAP was related to age, hypertension and right renal artery angle A (the AUC of ROC = 0.82), and left RAP was related to high serum cholesterol, age and left renal artery angle A(the AUC of ROC = 0.83). (5) The RAP was associated with renal artery-aorta angle A, but the differences on distribution, type stability of RAP between R1 (L1) group and R2 (L2) group were not statistically significant. Conclusions The RAP was associated with age, hypertension, hypercholesterolemia and renal artery-aorta angle A. Adults which had the greater renal artery-aorta angle A and the other above risk factors may be at increased risk for RAP.

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Section: Discussionmentioning

confidence: 99%