The use of percutaneous transluminal angioplasty for renal artery stenosis in patients with generalized atherosclerosis.
From April 1979 to March 1981 percutaneous transluminal angioplasty was attempted in 27 patients with atherosclerotic renal artery stenosis. In 13 patients percutaneous transluminal angioplasty was considered successful with a decrease in blood pressure and/or improvement in renal function. Dilation of the stenosed renal artery was not technically possible in 4 patients and was unsuccessful in 10. Eight patients required surgical intervention after percutaneous transluminal angioplasty, including 4 electric operations and 4 done on an emergency basis. In our series 5 patients sustained intimal tears of the renal artery during percutaneous transluminal angioplasty with intramural dissection and/or thrombosis. Continued multidisciplinary evaluation of percutaneous transluminal angioplasty in the treatment of renal artery stenosis is recommended.
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001161:Arteriosclerosis / Q000150:complications*; D001794:Blood Pressure; D003404:Creatinine / Q000378:metabolism; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
D003404:Creatinine