Percutaneous transcatheter renal angioplasty: an endourological experience.
A series of 56 percutaneous transcatheter renal angioplasties, carried out in an endourological unit, is reviewed and compared with radiological series. The results were inferior for fibrosclerotic lesions (77 vs. 90%) and nonostial atherosclerosis (67.8 vs. 75%), but slightly superior for ostial lesions (33 vs. 20-30%) in the endourological series as compared with the radiological series. Conversely, morbidity was significantly inferior (8.9 vs. 18.6%). The endourological series compares well with the radiological series in the literature. Percutaneous transcatheter renal angioplasty should be considered a procedure belonging both to interventional radiology and to endourology. Owing to the technical difficulties and the complication rate, it should not be performed in outpatients and a surgical support team should be available in the event of a threatening renal complication.
Puppo
P
P
Department of Urology, University of Genoa, Italy.
Quattrini
S
S
Bottino
P
P
Germinale
F
F
Caviglia
C
C
Ricciotti
G
G
Durand
F
F
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001161:Arteriosclerosis / Q000628:therapy; D005260:Female; D005355:Fibrosis; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000628:therapy; D007669:Kidney Calculi / Q000628:therapy; D008297:Male; D012008:Recurrence; D012077:Renal Artery / Q000473:pathology; D012078:Renal Artery Obstruction / Q000209:etiology / Q000628:therapy*