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Evaluation of the efficacy and safety of endovascular management for transplant renal artery stenosis.
Valle, Leonardo G M; Cavalcante, Rafael N; Motta-Leal-Filho, Joaquim M; Affonso, Breno B; Galastri, Francisco L; Doher, Marisa P; Guimarães-Souza, Nadia K; Cavalcanti, Ana K N; Garcia, Rodrigo G; Pacheco-Silva, Álvaro; Nasser, Felipe.
Afiliação
  • Valle LGM; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Cavalcante RN; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Motta-Leal-Filho JM; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Affonso BB; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Galastri FL; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Doher MP; Departamento de Nefrologia, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Guimarães-Souza NK; Departamento de Nefrologia, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Cavalcanti AKN; Departamento de Nefrologia, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Garcia RG; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Pacheco-Silva Á; Departamento de Nefrologia, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
  • Nasser F; Departamento de Radiologia Intervencionista, Hospital Israelita Albert Einstein, Sao Paulo, SP, BR.
Clinics (Sao Paulo) ; 72(12): 773-779, 2017 12.
Article em En | MEDLINE | ID: mdl-29319724
OBJECTIVES: To evaluate the safety and efficacy of endovascular intervention with angioplasty and stent placement in patients with transplant renal artery stenosis. METHODS: All patients diagnosed with transplant renal artery stenosis and graft dysfunction or resistant systemic hypertension who underwent endovascular treatment with stenting from February 2011 to April 2016 were included in this study. The primary endpoint was clinical success, and the secondary endpoints were technical success, complication rate and stent patency. RESULTS: Twenty-four patients with transplant renal artery stenosis underwent endovascular treatment, and three of them required reinterventions, resulting in a total of 27 procedures. The clinical success rate was 100%. All graft dysfunction patients showed decreased serum creatinine levels and improved estimated glomerular filtration rates and creatinine levels. Patients with high blood pressure also showed improved control of systemic blood pressure and decreased use of antihypertensive drugs. The technical success rate of the procedure was 97%. Primary patency and assisted primary patency rates at one year were 90.5% and 100%, respectively. The mean follow-up time of patients was 794.04 days after angioplasty. CONCLUSION: Angioplasty with stent placement for the treatment of transplant renal artery stenosis is a safe and effective technique with good results in both the short and long term.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obstrução da Artéria Renal / Stents / Transplante de Rim / Angioplastia Tipo de estudo: Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Revista: Clinics (Sao Paulo) Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obstrução da Artéria Renal / Stents / Transplante de Rim / Angioplastia Tipo de estudo: Evaluation_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Revista: Clinics (Sao Paulo) Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de publicação: Estados Unidos