The causes of early deterioration in renal function following successful renal interventions.
The available evidence suggests that endovascular intervention in renovascular renal failure is a safe and efficacious procedure. However there is a significant incidence of early renal deterioration following angioplasty or stenting. Complications are limited by training and experience but inevitably still occur. Cholesterol embolization and contrast nephrotoxicity may be more important. This review describes the complications and considers whether the kidney should be protected from the effects of cholesterol and contrast and, if so, whether this can be done safely and economically?
Nicholson
T
T
Leeds Teaching Hospitals NHS Trust, Great George St., Leeds LS13EX, Yorkshire, UK. tonynick@tonynick.demon.co.uk
D000800:Angioplasty, Balloon / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects*; D004617:Embolism / Q000209:etiology* / Q000517:prevention & control*; D017700:Embolism, Cholesterol / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D007674:Kidney Diseases / Q000628:therapy; D019919:Prosthesis Implantation / Q000009:adverse effects; D051437:Renal Insufficiency / Q000453:epidemiology / Q000209:etiology; D015607:Stents / Q000009:adverse effects
D003287:Contrast Media