Survival in Renal Vascular Disease

Conlon, PJ; Athirakul, Krairerk; Kovalik, Eugene C.; Schwab, Sidney I.; Crowley, James J.; Stack, Richard S.; McCants, Charles B.; Mark, D; Bashore, Thomas M.; Albers, Frank J.

doi:10.1097/00005392-199812010-00124

Cited by 48 publications

(60 citation statements)

References 1 publication

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“…Factors associated with decreased 4-year survival included advanced age, increased serum creatinine, the presence of RAS, peripheral vascular disease, congestive heart failure, diabetes, hypertension, and reduced ejection fraction. 5 Progression of even mild stenosis is reported in a large number of patients. 6 Moreover, RAS has been reported to have a high prevalence in patients with CAD.…”

Section: Discussionmentioning

confidence: 99%

Concomitant peripheral vascular and coronary artery disease: A new dimension for the global endovascular specialist?

Rigatelli¹,

Roncon²,

Bedendo³

et al. 2005

Clin Cardiol

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SummaryBackground: Early and accurate diagnosis of peripheral atherosclerosis is of paramount importance for global management of patients with known coronary artery disease (CAD).Hypothesis: We sought to evaluate retrospectively the prevalence and clinical relevance of significant abdominal vessel stenosis or aneurysm (AVA) in patients undergoing coronary angiography.Methods: Medical records of consecutive patients who underwent coronary angiography at two public institutions over a 12-month period were evaluated. Angiographic results of patients who underwent diagnostic abdominal aorta angiography, based on clinical criteria, to evaluate abdominal vessels at the same time as coronary angiography were analyzed.Results: During the study period, AVA was reported in 180 (35.7%) of 504 consecutive patients (335 men, mean age 68 ± 13.8 years): renal artery stenosis was found in 13.1% of cases (66 patients), aortoiliac artery disease in 13.7% (69 patients), and aortic aneurysmal disease in 8.9% (45 patients). Logistic regression analyses revealed ≥ 3-vessel CAD (odds ratio [OR] 9.917 , p = 0.002), age > 65 years (OR 3.817, p = 0.036), ≥ 3 risk factors (OR 2.8, p = 0.048) as independent predictors of AVA.Conclusion: Multiple vascular atherosclerotic distributions are frequent in elderly patients who have multivessel CAD and

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Section: Discussionmentioning

confidence: 99%

Concomitant peripheral vascular and coronary artery disease: A new dimension for the global endovascular specialist?

Rigatelli¹,

Roncon²,

Bedendo³

et al. 2005

Clin Cardiol

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show abstract

“…Atherosclerotic renal artery stenosis (RAS) is one of the common reasons for secondary hypertension [1][2][3] and increased risk of cardiovascular mortality [4,5]. Despite excellent outcomes of renal artery stenting, clinical benefi t from revascularization remains controversial [6].…”

Section: Introductionmentioning

confidence: 99%

Prognostic value of renal fractional flow reserve in blood pressure response after renal artery stenting (PREFER study)

Kądziela

Januszewicz²,

Prejbisz³

et al. 2013

Cardiol J

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“…[7][8][9] The reported prevalence of significant RAS (X50%) among patients undergoing coronary angiography ranges from 6.2% to as high as 28%. 2,[8][9][10][11][12][13][14][15][16][17][18] A positive association between the presence and severity of RAS and CAD has been described, [11][12][13]16,18,19 and the presence of RAS has been associated with poor cardiovascular outcome. 9,[20][21][22] There is growing evidence that a high percentage of significant atherosclerotic RAS is clinically indolent.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of renal artery stenosis in hypertensive patients undergoing coronary angiography

et al. 2009

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Renal artery stenosis (RAS) is a major comorbid condition in patients with coronary artery disease (CAD). Although the reported prevalence of significant RAS among patients undergoing coronary angiography varies from 6.2 to 28% in Western countries, little information is available on the prevalence and predictors of RAS in Middle Eastern countries. From April 2007 to May 2008, 732 hypertensive patients with suspected CAD immediately after selective coronary angiography underwent abdominal aortography with or without selective renal angiography. Coronary angiography revealed stenosis of X50% in at least one of the main coronary vessels in 434 (59.3%) patients, including 100 (13.7%) cases with single-vessel CAD, 114 (15.6%) with two-vessel CAD and 220 (30.1%) with three-vessel CAD. Significant RAS was present in 87 patients (11.9%), severe (X75%) RAS in 35 patients (4.8%) and bilateral RAS in 37 patients (5.1%). Higher serum creatinine level, severity of CAD, history of coronary artery bypass graft surgery (CABG), congestive heart failure, and pulmonary edema together with atrial fibrillation were the most powerful predictors of significant RAS. In multivariate logistic regression analysis, three-vessel CAD (odds ratio 1.61, 95% confidence interval (1.36-1.91), Po0.001), history of CABG (odds ratio 4.40, 95% confidence interval (1.17-16.5), P¼0.028) and serum creatinine level of 41.2 mg per 100 ml (odds ratio 2.12, 95% confidence interval (1.09-4.12), P¼0.026) were the most powerful predictors of significant RAS. The prevalence of RAS in our patients was similar to that reported in the Western countries. The presence of multi-vessel CAD or a history of CABG along with a higher serum creatinine level in hypertensive patients undergoing coronary angiography was found to be a risk factor for RAS.

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Survival in Renal Vascular Disease

Cited by 48 publications

References 1 publication

Concomitant peripheral vascular and coronary artery disease: A new dimension for the global endovascular specialist?

Concomitant peripheral vascular and coronary artery disease: A new dimension for the global endovascular specialist?

Prognostic value of renal fractional flow reserve in blood pressure response after renal artery stenting (PREFER study)

Prevalence and predictors of renal artery stenosis in hypertensive patients undergoing coronary angiography

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