4,556 results match your criteria Angioplasty Renal Artery

Use of paclitaxcel-coated balloons in clinical setting is not associated with increased mortality compared to plain balloon angioplasty in femoropopliteal lesions.

J Vasc Surg 2022 Jun 13. Epub 2022 Jun 13.

Radiology Department, Kuopio University Hospital, Kuopio, Finland.

Objective: To investigate mortality and causes of death associated with the use of paclitaxel-coated balloon (PCB) compared to plain balloon (PB) angioplasty in the treatment of femoropopliteal artery lesions in real-world clinical setting.

Methods: This retrospective single-center study included patients who underwent percutaneous femoropopliteal artery angioplasty without stenting between years 2014 and 2020. Patients were stratified into PCB and PB groups according to the index procedure. Read More

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Gangrene of the Foot After Coronary Artery Bypass Graft Surgery.

Perm J 2022 Apr 5;26(1):143-147. Epub 2022 Apr 5.

Department of Internal Medicine, Kaiser Permanente, Sacramento, CA, USA.

Coronary artery bypass grafting (CABG) is the most common surgery performed by cardiothoracic surgeons worldwide. Risks of CABG include neurological outcomes, deep vein thrombosis, renal or gastrointestinal injury, and death. Perioperatively, some patients may need intra-aortic balloon pump (IABP) use to help assist with cardiac function. Read More

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Percutaneous Mechanical Thrombectomy for Acute Limb Ischemia With Aorto-iliac Occlusion.

Front Surg 2022 26;9:831922. Epub 2022 Apr 26.

Department of Vascular Surgery, School of Medicine, Shanghai Ninth People's Hospital, Shanghai JiaoTong University, Shanghai, China.

Background: To evaluate the outcomes of percutaneous mechanical thrombectomy (PMT) with Rotarex catheter in patients with acute lower limb ischemia (ALI) caused by aorto-iliac occlusion.

Materials And Methods: Data of patients with ALI caused by aorto-iliac occlusion in our institutions from January 2010 and April 2020 were reviewed. The primary end point was limb salvage rate. Read More

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Simultaneous endovascular revascularization of external iliac artery dissection and transplant renal artery stenosis in a recent renal allograft recipient.

J Vasc Bras 2021 10;20:e20210035. Epub 2021 Sep 10.

Post Graduate Institute of Medical Education & Research - PGIMER, Chandigarh, India.

Various vascular complications following renal transplantation include renal artery and vein thrombosis, renal artery stenosis, pseudoaneurysm, and iliac artery dissection. Transplant renal artery stenosis (TRAS) is the most common, while iliac artery dissection is the rarest of these various vascular complications. We describe an elderly male, who had both external iliac artery dissection and TRAS at 2 months following renal transplantation. Read More

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September 2021

Anemia as a risk factor for restenosis in femoropopliteal arterial disease after drug-coated balloon angioplasty.

Vascular 2022 May 1:17085381221098289. Epub 2022 May 1.

74710The Interventional Therapy department of the first Affiliated Hospital of Dalian Medical University, Dalian, China.

Objective: This study aimed to investigate the relationship between anemia and restenosis in patients with femoropopliteal arterial disease following drug-coated balloon (DCB) angioplasty.

Methods: 194 patients treated with DCB for femoropopliteal lesions were retrospectively analyzed for up to 12 months of follow-up between January 2017 and September 2020. Baseline clinical and procedural characteristics were compared between the anemia and non-anemia patients, and predictors of restenosis were identified using logistic regression. Read More

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Changing trends in the incidence, management and outcomes of coronary artery perforation over an 11-year period: single-centre experience.

Open Heart 2022 04;9(1)

Cardiology Department, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Introduction: Coronary artery perforation (CP) is a rare but life-threatening complication of percutaneous coronary intervention (PCI). This study aimed to assess the incidence, management and outcomes of CP over time.

Methods: A single-centre retrospective cohort study of all PCIs performed between January 2010 and December 2020. Read More

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Surgical Treatment of Wilkie's Syndrome by Vascular Transposition.

Cureus 2022 Apr 18;14(4):e24251. Epub 2022 Apr 18.

General Surgery Department, Imam Abdulrahman Alfaisal Hospital, Riyadh, SAU.

Introduction Superior mesenteric artery syndrome (SMAS), also called mesenteric duodenal compression syndrome, Wilkie's syndrome, chronic duodenal ileus or cast syndrome, is a rare clinical condition defined as a compression of the third portion of the duodenum in between the SMA and abdominal aorta (AA), due to narrowing of the space between them. SMAS is primarily attributed to loss of the intervening mesenteric fat pad, leading to partial or complete duodenal obstruction. Its manifestations are complex and non-specific, including postprandial epigastric pain, nausea, vomiting, early satiety, weight loss and anorexia. Read More

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Renal Subcapsular Hematoma Due to Reperfusion Injury Following Renal Angioplasty in Fibromuscular Dysplasia: A Dilemma in Diagnosis and Management.

Cureus 2022 Mar 21;14(3):e23350. Epub 2022 Mar 21.

Cardiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, IND.

Fibromuscular dysplasia (FMD) is a potentially treatable cause of renovascular hypertension and it typically affects young females. FMD usually involves distal two-thirds of the renal artery and percutaneous transluminal renal angioplasty (PTRA) is the treatment of choice for FMD with resistant hypertension. PTRA is a safe procedure with minimal complications. Read More

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The Maintained Glycemic Target Goal and Renal Function Are Associated with Cardiovascular and Renal Outcomes in Diabetic Patients Following Stent-Supported Angioplasty for Renovascular Atherosclerotic Disease.

J Pers Med 2022 Mar 28;12(4). Epub 2022 Mar 28.

Department of Interventional Cardiology, The John Paul II Hospital, 31-202 Krakow, Poland.

Patients with type 2 diabetes mellitus (T2DM) constitute a large proportion of patients with atherosclerotic renal artery stenosis (ARAS). However, the mechanism of impaired renal function and hypertension in this subset of patients is multifactorial. We aimed to investigate whether, in diabetic patients, renal function (RF), systolic (SBP) and diastolic blood pressure (DBP) values following stent-supported angioplasty (PTA) for ARAS have an impact on cardiovascular and renal outcomes. Read More

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Percutaneous transluminal interventions of transplant renal artery stenosis: A case series study.

Ann Med Surg (Lond) 2022 May 5;77:103563. Epub 2022 Apr 5.

Chief of Vascular and Endovascular Surgery Department, Al Assad University Hospital, Damascus University, Damascus, Syria.

Introduction: and importance: Transplant renal artery stenosis (TRAS) is a well-recognized vascular complication after kidney transplant that can lead to graft loss, when it is diagnosed early and treated appropriately it may prevent kidney damage and related systemic squeals.

Case Presentation: This case-series represents our center experience in managing TRAS using percutaneous transluminal angioplasty [either balloon angioplasty (PTA) or stent placement (PTAS)] in 11 patients.

Clinical Discussion: All treated patients experienced immediate total recovery of renal function and normalization of arterial blood pressure without any drug or reducing the number of drugs used; no complications related to the intervention were reported. Read More

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Spontaneous renal artery dissection: angioplasty with stent implantation in one-year follow-up.

Einstein (Sao Paulo) 2022 8;20:eRC6570. Epub 2022 Apr 8.

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Spontaneous renal artery dissection is an unusual and idiopathic condition in most cases. In young, mildly symptomatic patients, diagnosis may be difficult, frequently culminating in delay in treatment. This report presents the case of a 40-year-old male patient, with severe hypertension of sudden onset, and difficult management of oral medication. Read More

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Safety and Efficacy of Drug Eluting Stents for Treatment of Transplant Renal Artery Stenosis.

Ann Vasc Surg 2022 Apr 9. Epub 2022 Apr 9.

Division of Vascular and Endovascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY. Electronic address:

Background: Transplant renal artery stenosis (TRAS) after renal transplantation is a common cause of graft dysfunction and failure. Endovascular intervention in the form of percutaneous transluminal angioplasty (PTA) and stenting has rapidly become the dominant treatment modality for the TRAS. There is a paucity of clinical data on the use of drug-eluting stent (DES) for TRAS. Read More

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Independent Predictors of Major Adverse Cardiovascular Events at 3 Years after Aortoiliac Stent Implantation.

J Vasc Interv Radiol 2022 Apr 7. Epub 2022 Apr 7.

Division of Cardiovascular Medicine, Toho University, Ohashi Medical Center, Tokyo, Japan.

Purpose: To identify the risk factors for major adverse cardiovascular events (MACEs) in real-world practice for symptomatic peripheral artery disease in Japan.

Materials And Methods: Data on Japanese patients (N = 880) from the Observational Prospective Multicenter Registry Study on Outcomes of Peripheral Arterial Disease Patients Treated by Angioplasty Therapy for Aortoiliac Artery who underwent de novo aortoiliac stent placement. The 3-year risk of incident MACEs was investigated. Read More

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PCSK9 and Cardiovascular Disease in Individuals with Moderately Decreased Kidney Function.

Clin J Am Soc Nephrol 2022 Jun 6;17(6):809-818. Epub 2022 Apr 6.

Department of Nephrology and Hypertension, University Hospital Erlangen, Friedrich Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.

Background And Objectives: Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a key regulator of lipid homeostasis. Studies investigating the association between PCSK9 and cardiovascular disease in large cohorts of patients with CKD are limited.

Design, Setting, Participants, & Measurements: The association of PCSK9 concentrations with prevalent and incident cardiovascular disease was investigated in 5138 White participants of the German Chronic Kidney Disease study with a median follow-up of 6. Read More

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Reversible Ischemic Nephropathy in a Deceased Donor Renal Transplant Recipient With BK Nephropathy.

Exp Clin Transplant 2022 03;20(Suppl 1):132-135

From the Nephrology Department, Hamed Al-Essa Organ Transplant Center, Sabah Area, Kuwait.

Atherosclerotic renal artery stenosis is one of the risk factors for cardiovascular death and can lead to the ischemic nephropathy. In this report, we describe the successful management of ischemic nephropathy that developed in a kidney transplant recipient with graft artery stenosis. The 52-year-old male patient had diabetes and hypertension and was a nonsmoker with hypothyroidism on replacement therapy. Read More

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Endovascular Treatment for Transplant Renal Artery Stenosis Improves the Short- and Long-Term Graft and Patient Outcomes.

Exp Clin Transplant 2022 03;20(3):253-257

From the Department of Transplant and Vascular Access Surgery, Royal Liverpool University Hospital, Liverpool, United Kingdom.

Objectives: Transplant renal artery stenosis is the commonest vascular complication after kidney transplant. This study aimed to evaluate the efficacy of endovascular treatment for patients with clinically significant transplant renal artery stenosis.

Materials And Methods: Electronic patient records of kidney transplant recipients who received transplants from October 1, 2010, to July 31, 2021, at the Royal Liverpool University Hospital were retrospectively reviewedtoidentify thosewhounderwent endovascular treatment for transplant renal artery stenosis. Read More

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Rotablation in Patients with Advanced Renal Insufficiency through End-Stage Renal Disease: Short- and Intermediate-Term Results.

J Interv Cardiol 2022 10;2022:7884401. Epub 2022 Mar 10.

Cardiovascular Center, Taichung Veterans General Hospital, Taichung 407, Taiwan.

Objective: Patients with advanced renal insufficiency are at high risk of coronary artery disease (CAD) and complex lesions. Treating complex calcified lesion with rotational atherectomy (RA) in these patients might be associated with higher risks and poorer outcomes. This study was set to evaluate features and outcomes of RA in these patients. Read More

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Renal Artery Stenting in Consecutive High-Risk Patients With Atherosclerotic Renovascular Disease: A Prospective 2-Center Cohort Study.

J Am Heart Assoc 2022 04 24;11(7):e024421. Epub 2022 Mar 24.

Department of Clinical Medicine Aarhus University Denmark.

Background The aim of this study was to prospectively evaluate the effects of renal artery stenting in consecutive patients with severe atherosclerotic renal artery stenosis and high-risk clinical presentations as defined in a national protocol developed in 2015. Methods and Results Since the protocol was initiated, 102 patients have been referred for revascularization according to the following high-risk criteria: severe renal artery stenosis (≥70%) with true resistant hypertension, rapidly declining kidney function, or recurrent heart failure/sudden pulmonary edema. At baseline, the mean 24-hour ambulatory systolic blood pressure was 166. Read More

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Cephalic arch restenosis rates in hemodialysis patients with brachiocephalic fistulae: a retrospective multicenter analysis of 3301 patients.

BMC Nephrol 2022 03 18;23(1):109. Epub 2022 Mar 18.

Fresenius Medical Care, Global Medical Office, Waltham, MA, USA.

Background: We evaluated restenosis rates at the cephalic arch after percutaneous angioplasty and stenting procedures in patients with brachial artery to cephalic vein arteriovenous fistula (BCAVF) hemodialysis access.

Methods: We used data from adult hemodialysis patients treated at a national network of 44 outpatient interventional facilities during Oct 2011-2015. We included data from patients with BCAVF who received an exclusive angioplasty, or stent with angioplasty, for treatment of cephalic arch stenosis and had ≥1 subsequent evaluation of the cephalic arch. Read More

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Treatment of Severe Renal Artery Stenosis with Acute Kidney Injury Requiring Hemodialysis by Percutaneous Transluminal Renal Angioplasty and Stent Implantation.

J Vasc Interv Radiol 2022 Jun 11;33(6):707-714.e2. Epub 2022 Mar 11.

Institute of Nephrology and Hypertension, Sheba Medical Center, Tel Aviv University, Israel; Sackler School of Medicine, Tel Aviv University, Israel.

Purpose: To evaluate the outcomes of percutaneous transluminal renal angioplasty with stent implantation (PTRAS) among patients with renal artery stenosis (RAS) who become dialysis-dependent due to acute deterioration of renal function.

Materials And Methods: This was a single-center retrospective cohort study of all PTRAS procedures performed from 2003 to 2019 in a referral hospital. A total of 109 procedures were performed in 92 patients. Read More

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Percutaneous Mechanical Atherothrombectomy Using the Rotarex Device in Acute Ischemic Disease of Lower Limbs: A China Retrospective Multicenter Study on 186 Patients.

Ann Vasc Surg 2022 Mar 8. Epub 2022 Mar 8.

Vascular Surgery Department, Tianjin Medical University General Hospital, Tianjin, China.

Background: To evaluate the efficacy and safety of the Rotarex mechanical thrombectomy device in treating acute lower extremity arterial ischemia and to explore the appropriate indication of the Rotarex device.

Methods: A retrospective analysis was performed in 186 patients with acute lower extremity arterial ischemia treated with the Rotarex mechanical thrombectomy device from April 2015 to March 2020 in three vascular surgery centers of Tianjin. As per the comprehensive judgment of the etiology, onset time, imaging of ultrasonography (US) and angiography, and findings during treatment, the patients were divided into the embolization group (69 cases), thrombosis group (primary artery stenosis with thrombosis; 86 cases), and restenosis group (stent restenosis with thrombosis; 31 cases). Read More

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Impact of Percutaneous Transluminal Renal Angioplasty on Autonomic Nervous System and Natriuresis in Hypertensive Patients With Renal Artery Stenosis.

J Am Heart Assoc 2022 03 9;11(6):e023655. Epub 2022 Mar 9.

Division of Hypertension and Nephrology National Cerebral and Cardiovascular Center Osaka Japan.

Background We investigated the early postoperative effect of percutaneous transluminal renal angioplasty on ambulatory blood pressure (BP) and the circadian characteristics of natriuresis and autonomic nerve activity. Methods and Results A total of 64 patients with hypertension with hemodynamically significant renal artery stenosis (mean age, 60.0±21. Read More

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Exaggerated natriuresis after renal artery balloon angioplasty for flash pulmonary oedema: a potential complication in one-kidney renovascular hypertension.

J Hypertens 2022 05 4;40(5):1042-1049. Epub 2022 Mar 4.

Department of Internal Medicine, Zuyderland Medical Centre, Sittard/Heerlen, The Netherlands.

Flash pulmonary oedema is a life-threatening complication of renal artery stenosis. We report a very rare complication in a patient with bilateral atherosclerotic renal artery stenosis who underwent unilateral renal artery angioplasty because of recurrent flash pulmonary oedema. Shortly after the procedure, she developed extreme polyuria (over 201 in the first 48 h) with massive natriuresis (>1000 mmol urinary sodium excretion in the first 24 h). Read More

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Dialysis access-associated steal syndrome with percutaneous endovascular arteriovenous fistula creation.

CVIR Endovasc 2022 Feb 26;5(1):13. Epub 2022 Feb 26.

Division of Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, New Hillman Building, NHB-H623, AL, 35249, Birmingham, USA.

Background: Dialysis access-associated steal syndrome (DASS) is an infrequent complication after hemodialysis access creation. Clinical symptoms depend on the degree of steal. Percutaneous arteriovenous fistula creation offers a minimally invasive alternative to surgical creation, though complications have been reported. Read More

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February 2022

Assessment and Management of Transplant Renal Artery Stenosis. A Literature Review.

Ann Vasc Surg 2022 May 31;82:13-29. Epub 2022 Jan 31.

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Vascular Surgery Unit, IRCCS University Hospital, Policlinico S. Orsola-Malpighi, Bologna, Italy.

Background: Transplant renal artery stenosis (TRAS) following kidney transplantation is a possible cause of graft failure. This review aimed to summarize the evidence about physiopathology, diagnosis and early and late effectiveness of the endovascular treatment (EVT), including angioplasty and stenting procedures.

Methods: A literature research was performed using Pubmed, Scopus and the Cochrane Library databases (January 2000-September 2020) according to PRISMA guidelines. Read More

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Case Report: Combination of Pressure Guidewire and Optical Coherence Tomography-Guided Drug-Coated Balloon Revascularization for Renal Artery Fibromuscular Dysplasia.

Front Cardiovasc Med 2021 13;8:773563. Epub 2022 Jan 13.

Department of Cardiology, Peking University First Hospital, Beijing, China.

Fibromuscular dysplasia (FMD) is the second common cause of renovascular hypertension. With the advent of endovascular therapy, angiography has become a diagnostic gold standard for FMD. Optical coherence tomography (OCT) by reflecting histology may improve diagnostic and classification accuracy. Read More

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January 2022

Casper stent in the treatment of pulsatile tinnitus in fibromuscular dysplasia: Therapeutic review and case report.

Brain Circ 2021 Oct-Dec;7(4):281-284. Epub 2021 Dec 21.

Division of Interventional Neuroradiology, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.

Fibromuscular dysplasia (FMD) is a known cause of pulsatile tinnitus that can, on rare occasion, evolve into an incapacitating condition. It is a noninflammatory and nonatherosclerotic arteriopathy of unknown cause that affects medium-sized vessels, such as the carotid and renal arteries, occurring mainly in women. We describe a 72-year-old woman suffering from pulsatile tinnitus refractory to medical treatment who was successfully treated with Casper stent in the carotid artery. Read More

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December 2021

Venous infarction secondary to congestive encephalopathy from central venous occlusive disease in a chronic hemodialysis patient: A case report.

Brain Circ 2021 Oct-Dec;7(4):277-280. Epub 2021 Dec 21.

Department of Neurosurgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Central venous occlusive disease secondary to chronic hemodialysis catheterization rarely progresses to encephalopathy, cerebral infarction, and/or hemorrhage. A 59-year-old male with 15 years of haemodialysis-dependent end-stage renal disease presented with acutely altered mental status, extensor rigidity with left hemiparesis and equal, but small and nonreactive pupils. Magnetic resonance imaging demonstrated infarction and cerebral edema. Read More

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December 2021

3D-Printed Cold Preservation Device in Renal Autotransplantation for the Treatment of a Patient With Renal Artery Stenosis.

Front Bioeng Biotechnol 2021 3;9:738434. Epub 2022 Jan 3.

Department of Urology, Tangdu Hospital, The Air Force Medical University, Xi'an, China.

Percutaneous transluminal angioplasty (PTRA) is a common treatment method for renal vascular disease (RVD). However, PTRA may not be effective in patients with abnormal vascular disease. Renal autotransplantation (RAT) has been used as an alternative therapy for these diseases. Read More

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January 2022

Kidney autotransplantation as a treatment for resistant hypertension due to renal artery stenosis: A case report and review of the literature.

Clin Nephrol Case Stud 2022 5;10:1-5. Epub 2022 Jan 5.

School of Medicine, University of Queensland, Brisbane, and.

Resistant hypertension is a common presentation of renal artery stenosis. Hypertension secondary to renal artery stenosis is typically managed with lifestyle and pharmacological interventions and less commonly with angioplasty or stenting, although exact treatment varies depending on the cause. In select cases refractory to these measures, kidney autotransplantation may be a valuable last-line approach. Read More

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January 2022