Renal artery stenting in solitary functioning kidneys: technical and clinical results.
OBJECTIVE
To evaluate the clinical and technical results of renal artery stenting for the treatment of renovascular hypertension and renal failure in patients with solitary functioning kidney.


METHODS
Fifteen patients with solitary functioning kidney underwent renal artery stenting and were followed up for 12-60 months. Before the procedures, systolic and diastolic blood pressures and serum creatinine levels were measured and the number of antihypertensive drugs was recorded and followed up after stenting. In case of restenosis, either in-stent percutaneous transluminal renal angioplasty or stent-in-stent placement was performed.


RESULTS
Primary technical success rate was 100%. One lesion was nonostial while 14 were ostial. Primary patency rates were 100% for 6 months, 92.3% for 12 months, and 69.2% for 24 months. The secondary patency rate at 24 months was 100%. The differences between the baseline and postprocedural values of systolic blood pressures, diastolic blood pressures and the number of antihypertensive drug were statistically significant (P < 0.05), except the values of serum creatinine. Hypertension was cured in 1 (6.7%) patient, improved in 4 (26.6%) and stabilized in 10 (66.7%) patients. Renal function improved in 9 (60%), stabilized in 4 (26.6%), and deteriorated in 2 (13.4%) patients. Minor complication rate was 13.4% and major complication rate was 13.4%.


CONCLUSIONS
Revascularization of renal artery stenosis using stent in solitary functioning kidneys is a safe and efficient procedure with high primary technical results, low restenosis rates and acceptable complication rates. It has an improving and controlling effect on blood pressure and renal functions.
Sahin
Sinan
S
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Hospital, Department of Radiology, Istanbul, Turkey.
Cimşit
Cağatay
C
Andaç
Nurten
N
Baltacioğlu
Feyyaz
F
Tuğlular
Serhan
S
Akoğlu
Emel
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D003287:Contrast Media; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007472:Iohexol / Q000031:analogs & derivatives; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome
D003287:Contrast Media; D007472:Iohexol; C038192:iopromide