4,202 results match your criteria Angioplasty Renal Artery


BIOPOLYMER-DELIVERED VASCULAR ENDOTHELIAL GROWTH FACTOR IMPROVES RENAL OUTCOMES FOLLOWING REVASCULARIZATION.

Am J Physiol Renal Physiol 2019 Mar 20. Epub 2019 Mar 20.

Physiology and Biophysics, Medicine, and Radiology, University of Mississippi Medical Center, United States.

Renal angioplasty and stenting (PTRAs) resolves renal artery stenosis, but inconsistently improves renal function, possibly due to persistent parenchymal damage. We developed a bioengineered fusion of a drug delivery vector (elastin-like polypeptide, ELP) with vascular endothelial growth factor (VEGF), and showed its therapeutic efficacy. We tested the hypothesis that combined ELP-VEGF therapy with PTRAs improves renal recovery more efficiently than PTRAs alone by protecting the stenotic renal parenchyma. Read More

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http://dx.doi.org/10.1152/ajprenal.00607.2018DOI Listing

Impact of Serum Uric Acid Levels on Outcomes following Renal Artery Revascularization in Patients with Renovascular Disease.

Int J Hypertens 2019 30;2019:3872065. Epub 2019 Jan 30.

Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.

Background: Percutaneous transluminal renal angioplasty (PTRA) improves blood pressure (BP) and renal function only in selected patients with atherosclerotic renovascular disease (ARVD). Hyperuricemia is associated with elevated risk for hypertension and chronic renal disease, but its role in renovascular hypertension is unclear. We hypothesized that hyperuricemia negatively impacts renal and BP outcomes among patients with ARVD undergoing PTRA. Read More

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http://dx.doi.org/10.1155/2019/3872065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374789PMC
January 2019
1 Read

Measuring Hospital-Acquired Complications Associated With Low-Value Care.

JAMA Intern Med 2019 Feb 25. Epub 2019 Feb 25.

The University of Sydney, Faculty of Medicine and Health, School of Public Health, Menzies Centre for Health Policy, Charles Perkins Centre, Sydney Australia.

Importance: Studies of low-value care have focused on the prevalence of low-value care interventions but have rarely quantified downstream consequences of these interventions for patients or the health care system.

Objective: To measure immediate in-hospital harm associated with 7 low-value procedures.

Design, Setting, And Participants: A cohort study with a descriptive analysis using hospital admission data from 225 public hospitals in New South Wales, Australia, was conducted from July 1, 2014, to June 30, 2017. Read More

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http://dx.doi.org/10.1001/jamainternmed.2018.7464DOI Listing
February 2019
2 Reads

Combination of Renal Angioplasty and Angiotensin-converting-enzyme Inhibitor Can Reduce Proteinuria in Patients with Bilateral Renal Artery Disease.

Intern Med 2019 02 25. Epub 2019 Feb 25.

Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

Recent large clinical trials failed to show clear benefits of percutaneous transluminal renal angioplasty (PTRA) as compared with medical therapy on patients with renal artery stenosis. It was also reported that proteinuria is an adverse prognostic factor after PTRA, and PTRA is less effective in patients with overt proteinuria. From the renoprotective point of view, to reduce proteinuria after PTRA is an important therapeutic goal in patients with renal artery stenosis with overt proteinuria. Read More

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http://dx.doi.org/10.2169/internalmedicine.2076-18DOI Listing
February 2019
2 Reads

Treatment of Renal Artery Stenosis in a Solitary Kidney Using Cutting Balloon Angioplasty in a Paediatric Patient.

Clin Med Insights Case Rep 2019 7;12:1179547619828721. Epub 2019 Feb 7.

Department of Interventional Radiology, Queen's Medical Centre (QMC), Nottingham University Hospitals NHS Trust, Nottingham, UK.

Aims: Renovascular hypertension is a rare cause of paediatric hypertension. It is however, a potentially treatable cause particularly when caused by renal artery stenosis (RAS).

Materials And Methods: We present the case of an 11-month-old girl presenting with cardiac dysfunction. Read More

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http://dx.doi.org/10.1177/1179547619828721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376492PMC
February 2019

Outcome following renal autotransplantation in renal artery stenosis.

Urol Ann 2019 Jan-Mar;11(1):46-52

Department of Urology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Introduction: With significant advances in the area of interventional radiology, angioplasty and stenting have become preferred first-line treatment in patients with significant renal artery stenosis. However, not all patients have favorable anatomy to undergo minimally invasive treatments, and reconstruction of the renal artery is an option. In select cases, either improved renal function or maintenance of existing function and sometimes resolution of hypertension can follow surgical treatment. Read More

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http://dx.doi.org/10.4103/UA.UA_39_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362799PMC
February 2019

Deep Vein Thrombosis of the Left Leg: A Case of May-Thurner Syndrome.

Eur J Case Rep Intern Med 2018 24;5(4):000829. Epub 2018 Apr 24.

Nassau University Medical Center, East Meadow, NY, USA.

A 56-year-old woman presented with gradually worsening shortness of breath associated with dull left leg pain over 5 days. She denied any recent travel, recent surgeries or immobilization. CT pulmonary angiography and CT venography revealed multiple bilateral pulmonary emboli and extensive left pelvic and left lower extremity deep vein thromboses. Read More

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http://dx.doi.org/10.12890/2018_000829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346753PMC
April 2018
1 Read

Outcomes of upper extremity access during fenestrated-branched endovascular aortic repair.

J Vasc Surg 2019 Mar 24;69(3):635-643. Epub 2018 Oct 24.

Department of Epidemiology and Biostatistics, Mayo Clinic, Rochester, Minn.

Objective: Upper extremity (UE) access is frequently used during fenestrated-branched endovascular aortic repair (F-BEVAR) to facilitate catheterization of downgoing vessels. Limitations include risk of cerebral embolization and of UE arterial or peripheral nerve injury. The aim of this study was to assess outcomes of F-BEVAR using UE access. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.05.214DOI Listing

Diagnosis and management of systemic hypertension due to renovascular and aortic stenosis in patients with Williams-Beuren syndrome.

Rev Assoc Med Bras (1992) 2018 Aug;64(8):723-728

. Pediatric Nephrology Unit, Institute of Children, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brasil.

Aim: To describe the incidence, diagnosis, and management of systemic arterial hypertension related to renal artery stenosis in patients with Williams-Beuren syndrome.

Methods: Sixty-five patients with Williams-Beuren syndrome were evaluated for hypertension. Enrolled patients underwent Doppler sonography of the renal arteries and Doppler echocardiography. Read More

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http://dx.doi.org/10.1590/1806-9282.64.08.723DOI Listing
August 2018
2 Reads

Dual-balloon assisted super-selective embolisation of high flow arterial venous fistula within a transplant kidney.

CVIR Endovasc 2018 30;1(1):21. Epub 2018 Oct 30.

1Imperial College Healthcare Trust, London, UK.

Background: In this case report, we describe a novel application of the technique of 'dual-balloon assisted' cannulation and embolisation of a high flow arterial venous fistula (AVF) in transplant kidney, where attempts at standard and previously described embolisation techniques were proving difficult to achieve.

Case Presentation: Seventy year old gentleman with renal transplant presenting with high output cardiac failure and deteriorating renal function. Angiography demonstrated high flow traumatic AV fistula within transplanted kidney, secondary to multiple biopsies. Read More

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http://dx.doi.org/10.1186/s42155-018-0029-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319512PMC
October 2018

First International Consensus on the diagnosis and management of fibromuscular dysplasia.

Vasc Med 2019 Jan 16:1358863X18821816. Epub 2019 Jan 16.

6 Paris Descartes University, Paris, France.

This article is a comprehensive document on the diagnosis and management of fibromuscular dysplasia (FMD), which was commissioned by the working group 'Hypertension and the Kidney' of the European Society of Hypertension (ESH) and the Society for Vascular Medicine (SVM). This document updates previous consensus documents/scientific statements on FMD published in 2014 with full harmonization of the position of European and US experts. In addition to practical consensus-based clinical recommendations, including a consensus protocol for catheter-based angiography and percutaneous angioplasty for renal FMD, the document also includes the first analysis of the European/International FMD Registry and provides updated data from the US Registry for FMD. Read More

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http://journals.sagepub.com/doi/10.1177/1358863X18821816
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http://dx.doi.org/10.1177/1358863X18821816DOI Listing
January 2019
7 Reads

Bilateral renal artery stenosis as a cause of refractory intradialytic hypertension in a patient with end stage renal disease.

BMC Nephrol 2019 Jan 14;20(1):19. Epub 2019 Jan 14.

Section of Nephrology, Department of Medicine, Regina General Hospital, 1440, 14th Avenue, Regina, S4P 0W5, Canada.

Background: We report a 61-year-old female with end-stage renal disease (ESRD) secondary to polycystic kidney disease (PKD) complicated by intradialytic hypertension (IDH). Increased sympathetic drive leading to increased stroke volume and/or vasoconstriction with an inappropriate increase in peripheral vascular resistance (PVR) has been postulated to be the cause of IDH.

Case Presentation: Attempts to control her blood pressure by reducing her goal weight; increasing dialysis times/ frequency and decreasing her sodium concentrate in the dialysis fluid were unsuccessful. Read More

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http://dx.doi.org/10.1186/s12882-018-1191-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332586PMC
January 2019
3 Reads

Understanding and managing atherosclerotic renovascular disease: still a work in progress.

F1000Res 2018 29;7. Epub 2018 Nov 29.

Departments of Physiology and Biophysics, Medicine, and Radiology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA.

Atherosclerotic renovascular disease (ARVD) is an unresolved therapeutic dilemma despite extensive pre-clinical and clinical studies. The pathophysiology of the disease has been widely studied, and many factors that may be involved in progressive renal injury and cardiovascular risk associated with ARVD have been identified. However, therapies and clinical trials have focused largely on attempts to resolve renal artery stenosis without considering the potential need to treat the renal parenchyma beyond the obstruction. Read More

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http://dx.doi.org/10.12688/f1000research.16369.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281014PMC
March 2019
2 Reads

A Case of Severe Advanced Takayasu Arteritis with Acute Myocardial Infarction as First Manifestation.

Curr Health Sci J 2018 Jan-Mar;44(1):80-84. Epub 2018 Jan 29.

Emergency Institute for Cardiovascular Diseases "Prof. Dr. C.C. Iliescu", Bucharest, Romania.

We present the case of a 53-year-old female who presented in the emergency room accusing chest pain, dyspnea to moderate physical strain and physical asthenia. The clinical exam highlighted the absence of pulse in the left upper limb, weak pulse at upper right and lower limbs. The angiography revealed severe coronary lesions, bilateral subclavian occlusion, bilateral renal artery occlusion, infrarenal aortic occlusion. Read More

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http://dx.doi.org/10.12865/CHSJ.44.01.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295189PMC
January 2018
1 Read

Successful endovascular treatment of chronic renal artery occlusion: a preliminary retrospective case series including 15 patients.

Int Urol Nephrol 2019 Feb 3;51(2):285-291. Epub 2019 Jan 3.

Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, 8 Xishiku St, Beijing, 100034, People's Republic of China.

Purpose: To evaluate in a retrospective, single-center, case series if percutaneous transluminal renal angioplasty/stenting of chronic renal artery occlusion is beneficial to renal function and blood pressure control, which remains controversial.

Methods: Data from 15 consecutive patients with renal artery stump who underwent successful percutaneous transluminal renal angioplasty/stenting only for unilateral chronic renal artery occlusion at our center from January 2007 to February 2018 and completed follow-up were retrospectively evaluated. Of the 15 patients, 14 (93. Read More

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http://dx.doi.org/10.1007/s11255-018-02067-0DOI Listing
February 2019
1 Read

Long-term outcomes of patients with stable coronary disease and chronic kidney dysfunction: 10-year follow-up of the Medicine, Angioplasty, or Surgery Study II Trial.

Nephrol Dial Transplant 2018 Dec 24. Epub 2018 Dec 24.

Department of Clinical Cardiology, Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.

Background: Chronic kidney disease (CKD) is associated with a worse prognosis in patients with stable coronary artery disease (CAD); however, there is limited randomized data on long-term outcomes of CAD therapies in these patients. We evaluated long-term outcomes of CKD patients with CAD who underwent randomized therapy with medical treatment (MT) alone, percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG).

Methods: Baseline estimated glomerular filtration rate (eGFR) was obtained in 611 patients randomized to one of three therapeutic strategies in the Medicine, Angioplasty, or Surgery Study II trial. Read More

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https://academic.oup.com/ndt/advance-article/doi/10.1093/ndt
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http://dx.doi.org/10.1093/ndt/gfy379DOI Listing
December 2018
2 Reads

Remote ischemic preconditioning for prevention of contrast induced nephropathy-Insights from an Indian study.

Indian Heart J 2018 Nov - Dec;70(6):857-863. Epub 2017 Nov 16.

Department of Cardiology, Government Medical College, Thiruvananthapuram, Kerala 695011, India.

Objectives: To study if four cycles of remote ischemic preconditioning (RIPC) could offer protection against contrast induced nephropathy (CIN) and post procedural renal dysfunction in high risk patients undergoing percutaneous coronary intervention (PCI).

Methods: This was a prospective single blind randomized sham controlled trial where patients undergoing coronary angioplasty with stage III chronic kidney disease were randomized into sham preconditioning and remote ischemic preconditioning. The primary outcome was the reduction in the incidence of CIN. Read More

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http://dx.doi.org/10.1016/j.ihj.2017.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306307PMC
January 2019
4 Reads

Successful Pediatric Kidney Transplantation Into an Adult Recipient: A Case Report.

Transplant Proc 2018 Dec 22;50(10):3920-3922. Epub 2018 Jun 22.

Department of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.

Background: The constant shortage of kidney donors prompts exploration into new strategies of transplantation. One of these strategies is the use of pediatric donors aged up to 5 years whose kidneys can be transplanted into adult recipients, mainly en bloc. This involves retrieving kidneys en bloc with aorta and inferior vena cava and anastomosing them to the recipient's external iliac vessels. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.018DOI Listing
December 2018
2 Reads

Resistant Hypertension From Renal Artery Stenosis Leading to Heart Failure With Preserved Ejection Fraction.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618816501. Epub 2018 Dec 7.

University of Alberta, Edmonton, Alberta, Canada.

Resistant hypertension remains an important cause of heart failure. In this article, we describe a case of resistant hypertension in a 63-year-old woman leading to heart failure and marked morbidity. Her clinical course was characterized by chronic pleural effusions and recurrent hospitalizations with respiratory failure and flash pulmonary edema associated with heart failure with preserved ejection fraction. Read More

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http://dx.doi.org/10.1177/2324709618816501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291873PMC
December 2018
1 Read

[Balloon angioplasty of the radial artery in critical hand ischaemia].

Angiol Sosud Khir 2018;24(4):64-68

Central Hospital of the Ministry of Internal Affairs of the Republic of Uzbekistan, Tashkent, Uzbekistan.

Presented herein are the results of treatment of five 63-to-72-year-old patients (four men and one woman) with critical upper limb ischaemia, which is one of rarely encountered pathologies. All patients suffered from type 2 diabetes mellitus. Two of them had end-stage renal disease (ESRD) and for 2 years were on haemodialysis. Read More

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February 2019
13 Reads

Patients with Atrial Fibrillation and Chronic Kidney Disease More Often Undergo Angioplasty of Left Main Coronary Artery - a 867 Patient Study.

Kidney Blood Press Res 2018 30;43(6):1796-1805. Epub 2018 Nov 30.

Cardiology Department, Ioannina University Hospital, Ioannina, Greece.

Background/aims: Several studies have implicated atrial fibrillation (AF) as a contributing factor in chronic kidney disease (CKD) and cardiovascular events. The prevalence of coronary artery disease (CAD) in patients with AF varies substantially from 17% to 46.5%. Read More

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http://dx.doi.org/10.1159/000495637DOI Listing
February 2019
2 Reads

Arterial Stiffness in a Toddler with Neurofibromatosis Type 1 and Refractory Hypertension.

Case Rep Pediatr 2018 31;2018:5957987. Epub 2018 Oct 31.

1st Department of Pediatrics, Aristotle University Thessaloniki, Hippokration Hospital, Thessaloniki, Greece.

Arterial hypertension is a common finding in patients with neurofibromatosis (NF) type 1. Renovascular hypertension due to renal artery stenosis or midaortic syndrome could be the underlying cause. We report the case of a 4-year-old girl with NF type 1 and midaortic syndrome whose changes in blood pressure and pulse wave velocity suggested the evolution of vasculopathy, diagnosis of renovascular hypertension, and provided insights of response to treatment. Read More

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http://dx.doi.org/10.1155/2018/5957987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234438PMC
October 2018
2 Reads

An infant case of renovascular hypertension in moyamoya disease treated by angioplasty.

Turk J Pediatr 2018 ;60(3):331-334

Departments of Vascular Surgery, Xuanwu Hospital, Capital Medical University; Institute of Vascular Surgery, Capital Medical University, Beijing, China.

Guo J, Guo L, Zeng G, Tong Z, Gao X, Gu Y. An infant case of renovascular hypertension in moyamoya disease treated by angioplasty. Turk J Pediatr 2018; 60: 331-334. Read More

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http://www.turkishjournalpediatrics.org/doi.php?doi=10.24953
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http://dx.doi.org/10.24953/turkjped.2018.03.017DOI Listing
February 2019
17 Reads

Bilateral renal artery stenosis treated with drug-eluting balloon angioplasty in unique treatment.

Radiol Case Rep 2019 Feb 20;14(2):242-245. Epub 2018 Nov 20.

Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy.

Renal artery stenosis commonly manifests with hypertension refractory to medical treatment. We report a case of renal artery stenosis occurring in a 19-year-old female patient who presented with extremely high blood pressure and bilateral renal stenosis at the duplex ultrasound. Renal angiography confirmed the bilateral and irregular stenosis due to fibromuscular dysplasia, associated to extent collaterals suppling the poststenotic right renal artery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19300433183048
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http://dx.doi.org/10.1016/j.radcr.2018.10.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250753PMC
February 2019
13 Reads

Long-term Graft and Patient Survival after Percutaneous Angioplasty or Arterial Stent Placement for Transplant Renal Artery Stenosis: A 21-year Matched Cohort Study.

Radiology 2019 Feb 6;290(2):555-563. Epub 2018 Nov 6.

From the Department of Interventional Radiology, St George's University Hospitals NHS Foundation Trust and Medical School, Blackshaw Road, London SW17 0QT, England (U.P., R.D.); Centre for Medical Imaging, University College London, London, England (S.K.); Department of Vascular Surgery, Guy's and St Thomas' Hospital, London, England (O.W.J.); and Department of Radiology, Royal Sussex County Hospital, Brighton, England (J.H.J.).

Purpose To compare long-term graft and patient survival after percutaneous angioplasty (PTA) or stent placement for transplant renal artery stenosis (TRAS) with a control cohort without TRAS. Materials and Methods This is a retrospective matched cohort study of 41 patients (median age, 49 years; range, 18-72 years), including 27 male patients (median age, 48 years; range, 18-67 years) and 14 female patients (median age, 52 years; range, 24-68 years), with TRAS from December 1995 through 2016. Primary end points were death-censored graft and patient survival, compared by using log-rank test and Cox proportional regression. Read More

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http://dx.doi.org/10.1148/radiol.2018181320DOI Listing
February 2019
17 Reads

Spontaneous dissection of the renal artery: case report.

J Vasc Bras 2018 Apr-Jun;17(2):156-159

Pontifícia Universidade Católica do Paraná - PUC-PR, Hospital Universitário Cajuru - HUC, Serviço de Cirurgia Vascular e Endovascular, Curitiba, PR, Brasil.

Spontaneous renal artery dissection is rare and most cases are considered idiopathic. Previous renal arterial disease may be present in some cases and clinical presentation is often non-specific. Here, the authors present a case of spontaneous renal artery dissection in a 40-year-old male patient with uncontrolled hypertension discovered during investigation of secondary hypertension. Read More

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http://dx.doi.org/10.1590/1677-5449.009917DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205702PMC
November 2018
2 Reads

Computed tomography angiography evaluation of acute limb ischemia.

Vasa 2019 Jan 30;48(1):57-64. Epub 2018 Oct 30.

1 Mayo Clinic Arizona, Phoenix, USA.

Acute limb ischemia (ALI), a subclass of critical limb ischemia, is a medical emergency. The cause of ALI is usually thrombotic or embolic in nature, and the specific etiology often dictates the appropriate therapy. While the diagnosis is a clinical with common presenting symptoms, advances in ultrasound, computed tomography, and magnetic resonance technology have impacted the diagnosis and subsequent therapy. Read More

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https://econtent.hogrefe.com/doi/10.1024/0301-1526/a000759
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http://dx.doi.org/10.1024/0301-1526/a000759DOI Listing
January 2019
10 Reads

Risk factors for transplant renal artery stenosis after live donor transplantation.

Br J Surg 2019 Feb 22;106(3):199-205. Epub 2018 Oct 22.

Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.

Background: Renal transplant surgeons are making increasing use of live donor kidneys with multiple renal arteries. This study aimed to identify independent risk factors for the development of transplant renal artery stenosis (TRAS) in the modern era of complex arterial reconstruction for multiple vessels.

Methods: Multivariable logistic regression analysis with a stepwise variable deletion model was used to identify risk factors for the development of TRAS in a consecutive series of live donor kidney transplants. Read More

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http://doi.wiley.com/10.1002/bjs.10997
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http://dx.doi.org/10.1002/bjs.10997DOI Listing
February 2019
21 Reads

Outpatient Endovascular Tibial Artery Intervention in an Office-Based Setting Is as Safe and Effective as in a Hospital Setting.

J Endovasc Ther 2018 Dec 15;25(6):666-672. Epub 2018 Oct 15.

1 Division of Vascular Surgery, Eastern Virginia School of Medicine, Norfolk, VA, USA.

Purpose: To compare outcomes of outpatient tibial artery procedures between an office endovascular center and a hospital angiography suite.

Methods: A retrospective review was conducted of 204 outpatient tibial interventions performed on 161 patients (mean age 72±11.5 years; 81 men) in either an office (n=100) or hospital (n=104) angiography suite from April 2011 through September 2013. Read More

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http://journals.sagepub.com/doi/10.1177/1526602818806691
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http://dx.doi.org/10.1177/1526602818806691DOI Listing
December 2018
11 Reads

Risk factors and therapies in vascular diseases: An umbrella review of updated systematic reviews and meta-analyses.

J Cell Physiol 2019 Jun 14;234(6):8221-8232. Epub 2018 Oct 14.

Department of Hepatopancreatobility Surgery, China-Japan Union Hospital of JiLin University, ChangChun, China.

Aberrant blood vessel functioning and systemic circulation are key causes for vascular disorders; cardiovascular, cerebrovascular, renal artery stenosis, and peripheral artery diseases. Epidemiological and basic science evidence supported genetic reasons, compounded by obesity, hypercholesterolemia, hypertension, diabetes, and smoking as risk factors. This is an umbrella review of risk factors and therapies in vascular disorders, exploring systematic reviews and meta-analyses studies in PubMed, Cochrane, Embase, and Central published in January 2000-May 2018. Read More

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http://dx.doi.org/10.1002/jcp.27633DOI Listing
June 2019
1 Read

[A (too) successful renal denervation].

Ann Cardiol Angeiol (Paris) 2019 Feb 2;68(1):61-63. Epub 2018 Oct 2.

Département de cardiologie, centre hospitalier universitaire de Montpellier, 34295 Montpellier cedex 5, France; Inserm U1046, CNRS UMR 9214, PhyMedExp, université de Montpellier, 34295 Montpellier cedex 5, France.

We report the case of a type-2 myocardial infarction immediately after renal denervation. The patient was followed for coronary artery disease. Low blood pressures were responsible for inferior acute myocardial infarction that revealed a sub occlusive stenosis of the right coronary artery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00033928183013
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http://dx.doi.org/10.1016/j.ancard.2018.08.030DOI Listing
February 2019
15 Reads

Outcomes of STEMI patients with chronic kidney disease treated with percutaneous coronary intervention: the Malaysian National Cardiovascular Disease Database - Percutaneous Coronary Intervention (NCVD-PCI) registry data from 2007 to 2014.

BMC Cardiovasc Disord 2018 Sep 24;18(1):184. Epub 2018 Sep 24.

Division of Cardiology, Department of Medicine, University Malaya Medical Centre, 59100, Kuala Lumpur, Malaysia.

Background: Patients with renal impairment often left out from most major clinical trials assessing the optimal treatment for ST-elevation myocardial infarction (STEMI). Large body of evidence from various cardiovascular registries reflecting more 'real-world' experience might contribute to the knowledge on how best to treat this special cohort. We aim to analyze the outcomes of Malaysian STEMI patients with renal impairment treated with coronary angioplasty. Read More

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https://bmccardiovascdisord.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s12872-018-0919-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154951PMC
September 2018
11 Reads
1.500 Impact Factor

Hilar Renal Artery Aneurysm Repair Using Coil Embolization and Covered Stent.

Vasc Endovascular Surg 2019 Jan 4;53(1):82-85. Epub 2018 Sep 4.

1 Vascular Surgery Division, Department of Surgery, St. Luke's Memorial Hospital, Ponce Health Sciences University, Ponce, PR, USA.

Introduction:: Little has been reported regarding endovascular therapy with stent of renal artery hilar aneurysms. To that end, we herein report the outcomes of 3 hilar renal artery aneurysms (RAA) treated with an endovascular technique that makes use of a covered stent and coil embolization in the repair of hilar RAA and deem using this technique is better than traditional open approach with back-table repair and autotransplatation.

Methods:: Since November 2014, 3 consecutive patients have been referred to the vascular surgery service for evaluation of a right RAA; these patients' aneurysms were diagnosed with a CT arteriogram prior to evaluation. Read More

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http://dx.doi.org/10.1177/1538574418798113DOI Listing
January 2019
11 Reads

Balloon aortic valvuloplasty via a bilateral trans-radial artery approach prior to transcatheter aortic valve replacement.

J Card Surg 2018 Oct 30;33(10):604-606. Epub 2018 Aug 30.

Department of Cardiology, Barwon Health, Geelong, Victoria, Australia.

Balloon aortic valvuloplasty (BAV) intervention is used as destination therapy or as a bridge to percutaneous or surgical aortic valve intervention. BAV is traditionally performed via a transfemoral approach; however, this may not be feasible in all patients due to peripheral vascular disease. We present a case of BAV performed via bilateral transradial access utilizing simultaneous deployment of two angioplasty balloons. Read More

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http://dx.doi.org/10.1111/jocs.13799DOI Listing
October 2018
1 Read

Treatment of juxta-anastomotic stenoses for failing distal radiocephalic arteriovenous fistulas: Drug-coated balloons versus angioplasty.

J Vasc Access 2019 Mar 30;20(2):209-216. Epub 2018 Aug 30.

1 Department of Diagnostic and Interventional Radiology, Azienda Ospedaliera per l'Emergenza Cannizzaro, Catania, Italy.

The aim of our study is to report the results of two types (type A, type B) paclitaxel drug-coated balloon compared with standard percutaneous transluminal angioplasty in the treatment of juxta-anastomotic stenoses of mature but failing distal radiocephalic hemodialysis arteriovenous fistulas. Two groups of 26 and 44 patients treated with two different drug-coated balloon are compared with a control group of 86 treated with standard percutaneous transluminal angioplasty. A color Doppler ultrasound was performed to evaluate stenosis and for treatment planning. Read More

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http://dx.doi.org/10.1177/1129729818793102DOI Listing
March 2019
8 Reads

The impact of the angioplasty of the renal artery and cold ischemia time in kidney transplantation on graft function.

Bratisl Lek Listy 2018;119(7):416-420

The aim of this study was to analyze the benefit of the patients after renal transplantation with an assessment of the significance of different surgical techniques in patients with renal transplantation (not only from the dead but also the living donors) with multiple arteries. 457 patients with end stage renal disease (ESRD) in the treatment using the extracorporeal elimination method (haemodialysis, or peritoneal dialysis), who in the period from 2005 to 2015 had a kidney transplant were included in our retrospective study. Our results confirm that the patients after kidney transplantation with cold ischemia time more than 12 hours have 2. Read More

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http://dx.doi.org/10.4149/BLL_2018_075DOI Listing
November 2018
1 Read

Renal arterial atherothrombosis due to catheter-induced dissection: Necessity of urgent intervention in a patient with a solitary functioning kidney.

Heart Lung 2019 Jan 16;48(1):69-71. Epub 2018 Aug 16.

Department of Cardiology, Kafkas University Medical School, Kars, Turkey.

Background: Renal artery stenosis (RAS) is a leading cause of hypertension, renal failure, pulmonary edema, and loss of renal mass. Atherothrombotic renal disease is a well-described entity, known primarily for its high mortality rate.

Case: Here, we present a case of acute unrecognized atherothrombosis of RAS due to catheter-induced dissection in a patient with a limited functioning renal artery and solitary kidney. Read More

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http://dx.doi.org/10.1016/j.hrtlng.2018.07.012DOI Listing
January 2019
3 Reads

Endovascular Repair of Ruptured Hepatic Artery Pseudoaneurysm Secondary to Fibromuscular Dysplasia.

Vasc Endovascular Surg 2019 Jan 16;53(1):66-70. Epub 2018 Aug 16.

2 Division of Vascular Surgery, Stanford University, Stanford, CA, USA.

We describe successful endovascular treatment of a patient with fibromuscular dysplasia of the celiac axis leading to development of a common hepatic artery pseudoaneurysm with contained rupture. An 81-year-old woman was transferred to our quaternary care center with concern for a hepatic artery rupture. Further imaging demonstrated a common hepatic artery pseudoaneurysm with surrounding hematoma as well as multifocal areas of narrowing and dilatation in the celiac trunk consistent with fibromuscular dysplasia. Read More

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http://dx.doi.org/10.1177/1538574418794075DOI Listing
January 2019
23 Reads

Perirenal haemorrhage after successful stent placement in a patient with atherosclerotic renal artery stenosis: A case report.

J Pak Med Assoc 2018 Aug;68(8):1257-1259

Department of Radiology, Kyung Hee University, Korea.

Atherosclerotic renal artery stenosis is a potentially correctable cause of secondary hypertension. Most patients with renal artery stenosis are managed with medical therapy alone. However, percutaneous renal angioplasty could be more effective than conventional medical therapy in several specific conditions. Read More

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August 2018
3 Reads

Association of early loss of primary functional patency of arteriovenous access with mortality in incident hemodialysis patients: A nationwide population-based observational study.

Medicine (Baltimore) 2018 Aug;97(31):e11630

Division of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua.

The long-term survival and life quality of hemodialysis (HD) patients depend on adequacy of dialysis via a well-functioning vascular access. Loss of primary functional patency (PFP) of an arteriovenous access (AVA) eventually happens in HD patients. The association between time to loss of PFP of AVAs and mortality in HD patients remains unclear. Read More

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http://Insights.ovid.com/crossref?an=00005792-201808030-0005
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http://dx.doi.org/10.1097/MD.0000000000011630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081135PMC
August 2018
18 Reads
5.723 Impact Factor

Limb Stent Occlusion from Intraoperative Nellix Stent Migration and Prolapse.

Ann Vasc Surg 2019 Jan 25;54:144.e9-144.e12. Epub 2018 Jul 25.

Department of Vascular Surgery, Singapore General Hospital, Bukit Merah, Singapore.

Background: Incidence of Nellix stent migration is uncommon despite the absence of a proximal fixation mechanism. We present a case of intraoperative Nellix stent migration to highlight the potential complications. Our patient had renal artery occlusion and threatened limb stent perfusion as a result of intraoperative stent migration, with resultant prolapse of the Nellix endobag. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183049
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http://dx.doi.org/10.1016/j.avsg.2018.07.001DOI Listing
January 2019
18 Reads

Endovascular Treatment of Transplant Renal Artery Stenosis: Evaluation of Postoperative Outcomes and Risk Factors for Recurrence.

Angiology 2018 Jan 1:3319718787665. Epub 2018 Jan 1.

1 Department of Urology, University Hospital of Nice, Nice, France.

Angioplasty with or without stenting has become a well-established procedure to treat transplant renal artery stenosis (TRAS). We evaluated our experience on postoperative outcomes following the intervention and identified potential predictive factors of TRAS recurrence. Consecutive patients who underwent endovascular treatment of TRAS were retrospectively reviewed. Read More

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http://dx.doi.org/10.1177/0003319718787665DOI Listing
January 2018
2 Reads

Percutaneous intervention for restoration of patency of occluded lower limb arteriovenous dialysis access.

Indian Heart J 2018 May - Jun;70(3):450-454. Epub 2017 Aug 26.

Department of cardiology, KMC Manipal, Manipal University, India.

Background: Arteriovenous (AV) fistula thrombosis is a serious complication in patients undergoing hemodialysis, often presenting with symptoms of venous hypertension, failure to dialysis and uremic symptoms. Treatment is aimed to provide symptomatic relief and to maintain hemodialysis access site patency.

Aim: To describe our initial experience in the endovascular treatment of lower limb AV dialysis access (AV fistula) thrombosis and/or obstruction in patients undergoing hemodialysis. Read More

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http://dx.doi.org/10.1016/j.ihj.2017.08.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034021PMC
September 2018
20 Reads

Predictors of contrast induced nephropathy and the applicability of the Mehran risk score in high risk patients undergoing coronary angioplasty-A study from a tertiary care center in South India.

Indian Heart J 2018 May - Jun;70(3):399-404. Epub 2017 Aug 26.

Department of Cardiology, Government Medical College, Thiruvananthapuram, Kerala 695011, India.

Objective: To study the incidence and predictors of Contrast induced nephropathy (CIN) in high risk patients undergoing coronary angioplasty. To study the applicability of the Mehran Risk Score (MRS) in the prediction of CIN in our population.

Methods: This was a prospective observational study where patients with an estimated glomerular filtration rate (eGFR) between 30 and 60ml/mt undergoing elective percutaneous coronary intervention (PCI) over a period of 15 months were evaluated prospectively for the development of CIN. Read More

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http://dx.doi.org/10.1016/j.ihj.2017.08.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034029PMC
September 2018
3 Reads

Treatment of critical hand ischemia via orbital atherectomy and focal force balloon angioplasty: A mini-review.

Cardiovasc Revasc Med 2018 Apr 6. Epub 2018 Apr 6.

Cardiovascular Systems, Inc., St. Paul, MN, United States.

Calcified lesions in below-the-elbow (BTE) arteries are common in patients with diabetes or end-stage renal disease and can lead to critical hand ischemia (CHI). Treatment of calcified lesions with atherectomy has proved useful in the lower extremities, however, atherectomy in the upper extremities and especially BTE, is not typically considered due to the small vessel size. We review and discuss these studies along with other CHI-related articles and also present a case of a severely calcified ulnar artery lesion treated with orbital atherectomy and plain Chocolate balloon angioplasty. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.03.012DOI Listing
April 2018
1 Read

Safety of FFR-guided revascularisation deferral in Anatomically prognostiC diseasE (FACE: CARDIOGROUP V STUDY): A prospective multicentre study.

Int J Cardiol 2018 Nov 8;270:107-112. Epub 2018 Jun 8.

Division of Cardiology, Cardio-Thoracic Department, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Corso A. M. Dogliotti, 14, 10126 Torino, Italy.

Background: FFR-guided coronary intervention is recommended for patients with intermediate stenoses. However, concerns exist with this approach in anatomically prognostic disease.

Methods: In this prospective, multicentre study, we consecutively enrolled patients found to have FFR negative lesions in anatomically significant sites: left main; proximal LAD; last remaining patent vessel; and multiple vessels with concomitant impaired left ventricular systolic function (EF < 40%). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01675273173637
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http://dx.doi.org/10.1016/j.ijcard.2018.06.013DOI Listing
November 2018
14 Reads

Adjunctive visceral artery chimney in patients undergoing Zenith Fenestrated aortic repair.

J Vasc Surg 2018 12;68(6):1688-1695

Division of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind. Electronic address:

Objective: Visceral artery chimneys have been employed as an adjunct to endovascular aneurysm repair (EVAR) to treat short-neck infrarenal and juxtarenal aortic aneurysms for more than two decades. With the widespread introduction of fenestrated endovascular aneurysm repair by the Food and Drug Administration-approved Zenith Fenestrated endograft (ZFEN; Cook Medical, Bloomington, Ind) to the United States in 2012, clinicians gained the ability to apply the chimney technique to these custom devices for difficult anatomy. The purpose of this report was to demonstrate feasibility and to provide evidence on the performance of chimneys for the treatment of complex juxtarenal aneurysms that could not be adequately treated with ZFEN alone. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.03.421DOI Listing
December 2018
4 Reads

From debulking to delivery: sequential use of rotational atherectomy and Guidezilla™ for complex saphenous vein grafts intervention.

BMC Cardiovasc Disord 2018 06 19;18(1):122. Epub 2018 Jun 19.

Cardiovascular Center Aalst, OLV Hospital, Moorselbaan 164, B 9300, Aalst, Belgium.

Background: Percutaneous coronary interventions (PCI) of old calcified saphenous vein grafts (SVGs) is challenging and is associated with a considerably high risk of adverse ischemic events in the short- and long-term as compared to native coronary arteries. We report a case in which a non-dilatable, calcified SVG lesion is successfully treated with rotational atherectomy followed by PCI and stenting with local stent delivery (LSD) technique using the Guidezilla™ guide extension catheter (5-in-6 Fr) in the "child-in-mother" fashion.

Case Presentation: A 70 years-old man with a dilated ischemic cardiomyopathy, triple coronary artery bypass grafting (CABG) in 1990 and chronic renal failure (baseline GFR: 45 ml/min/1. Read More

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http://dx.doi.org/10.1186/s12872-018-0860-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006709PMC
June 2018
10 Reads

Differences in renal hemodynamics and renin secretion between patients with unifocal and multifocal fibromuscular dysplasia.

J Hypertens 2018 Aug;36(8):1729-1735

Department of Internal Medicine.

Objective: Fibromuscular dysplasia (FMD) can be classified in a multifocal and a unifocal subtype. As unifocal FMD generally leads to more severe hypertension at younger age, we hypothesized that renal hemodynamics are more disturbed in unifocal renal artery FMD as compared with multifocal FMD, leading to increased renin secretion.

Methods: We measured renal blood flow (Xenon washout method), renin secretion, and glomerular filtration rate per kidney in 101 patients with FMD (26 unifocal and 75 multifocal), all off medication and prior to balloon angioplasty. Read More

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http://Insights.ovid.com/crossref?an=00004872-201808000-0001
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http://dx.doi.org/10.1097/HJH.0000000000001755DOI Listing
August 2018
11 Reads

Burden of cardiovascular risk factors and disease among patients with type 1 diabetes: results of the Australian National Diabetes Audit (ANDA).

Cardiovasc Diabetol 2018 06 2;17(1):77. Epub 2018 Jun 2.

School of Public Health and Preventive Medicine, Monash University, 5th Floor, The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.

Background: Cardiovascular risk stratification is complex in type 1 diabetes. We hypothesised that traditional and diabetes-specific cardiovascular risk factors were prevalent and strongly associated with cardiovascular disease (CVD) among adults with type 1 diabetes attending Australian diabetes centres.

Methods: De-identified, prospectively collected data from patients with type 1 diabetes aged ≥ 18 years in the 2015 Australian National Diabetes Audit were analysed. Read More

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http://dx.doi.org/10.1186/s12933-018-0726-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984751PMC
June 2018
18 Reads