title: Stenoses of renal branch arteries in fibromuscular dysplasia: results of percutaneous transluminal angioplasty.
abstract: OBJECTIVE
  To evaluate percutaneous transluminal renal angioplasty (PTRA) in the treatment of renal branch artery stenoses caused by fibromuscular dysplasia.
  
  
  METHODS
  The authors retrospectively studied the files of 20 consecutive hypertensive patients with 25 branch artery stenoses associated with 10 main renal artery lesions. Results at clinical and angiographic follow-up were assessed by means of life-table analysis.
  
  
  RESULTS
  PTRA was technically successful in 21 of the 25 renal branch artery stenoses (84%). One of the technical failures was treated by means of selective embolization. Nine of the 10 associated main renal artery lesions were successfully dilated, and the 10th was improved. Immediately after PTRA, at 6-month follow-up, and at long-term follow-up, 70%, 76%, and 68% of the patients, respectively, were cured and 25%, 24%, and 16% were improved. Stenosis recurred in 9% of the branch arteries and was associated with clinical relapse; these arteries were redilated, and all patients were considered cured at the second 6-month follow-up.
  
  
  CONCLUSIONS
  PTRA should be considered the first-line treatment for hypertension due to renal branch artery stenosis in fibromuscular disease.
authors.affiliation: Department of Cardiovascular Radiology, Hôpital Broussais, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Cluzel
authors.forename: A
authors.initials: A
authors.lastname: Raynaud
authors.forename: B
authors.initials: B
authors.lastname: Beyssen
authors.forename: J Y
authors.initials: JY
authors.lastname: Pagny
authors.forename: J C
authors.initials: JC
authors.lastname: Gaux
mesh_terms: D000293:Adolescent; D000328:Adult; D000800:Angioplasty, Balloon; D005260:Female; D005352:Fibromuscular Dysplasia / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000453:epidemiology / Q000517:prevention & control*; D015993:Life Tables; D008297:Male; D011859:Radiography; D012008:Recurrence; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome