Renal artery angioplasty: increased technical success and decreased complications in the second 100 patients.
In 200 consecutive patients undergoing percutaneous transluminal renal angioplasty (PTRA), a significant increase in primary success rate (P less than .02) and a concomitant decrease in complications were noted in the second 100 patients. The primary success rate increased from 93% to 97%, and the incidence of total complications fell from 20% to 13%. The incidence of complications requiring surgery fell from 5% to 2%, and the incidence of renal failure declined from 10% to 5% of the patient population. Variables that contributed to improvement in the procedure included new approaches to crossing arterial stenoses, increased use of digital imaging, less contrast material used in each case, better hydration of patients, and increased use of vascular sheaths at the puncture site.
D058186:Acute Kidney Injury / Q000209:etiology; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects; D004617:Embolism / Q000209:etiology; D006801:Humans; D007674:Kidney Diseases / Q000139:chemically induced; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000293:injuries; D012078:Renal Artery Obstruction / Q000628:therapy*; D012189:Retrospective Studies; D012306:Risk
D003287:Contrast Media