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Titolo:
Ostial renal artery stent placement in patients 75 years of age or older
Autore:
Bloch, MJ; Trost, DA; Whitmer, J; Pickering, TG; Sos, TA; August, P;
Indirizzi:
Cornell Univ, Weill Med Coll, New York Presbyterian Hosp, Dept Med,Div Hypertens, New York, NY USA Cornell Univ New York NY USA p, Dept Med,Div Hypertens, New York, NY USA Univ Nevada, Sch Med, Dept Med, Reno, NV 89557 USA Univ Nevada Reno NV USA 89557 vada, Sch Med, Dept Med, Reno, NV 89557 USA Cornell Univ, Weill Med Coll, New York Presbyterian Hosp, Div Intervent Radiol, New York, NY USA Cornell Univ New York NY USA osp, Div Intervent Radiol, New York, NY USA
Titolo Testata:
AMERICAN JOURNAL OF HYPERTENSION
fascicolo: 10, volume: 14, anno: 2001,
pagine: 983 - 988
SICI:
0895-7061(200110)14:10<983:ORASPI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
BALLOON ANGIOPLASTY; STENOSIS; DISEASE; REVASCULARIZATION; HYPERTENSION; MANAGEMENT; EXPERIENCE;
Keywords:
renovascular hypertension; renal artery stenosis; elderly; stent;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Bloch, MJ Univ Nevada, Sch Med, VAMC 111, 1000 Locust St, Reno, NV 89520 USA Univ Nevada 1000 Locust St Reno NV USA 89520 Reno, NV 89520 USA
Citazione:
M.J. Bloch et al., "Ostial renal artery stent placement in patients 75 years of age or older", AM J HYPERT, 14(10), 2001, pp. 983-988

Abstract

Renal artery stent placement has been shown to improve blood pressure (BP)and stabilize renal function in patients with atherosclerotic renovasculardisease. However, limited data are available in patients greater than or equal to 75 years of age. We analyzed the prestent characteristics and clinical outcomes of patientsaged greater than or equal to 75 years who underwent renal artery stentingat our institution. We compared these data with those from the remainder of our stent cohort. Nineteen of 89 (21.3%) stent patients were greater than or equal to 75 years old. Before intervention, those greater than or equal to 75 years were significantly more likely to be women (84.2% v 55%; P = .02), current or former smokers (78.6% v 36.8%; P = .002), and on a greater number of antihypertensive medications (3.68 v 2.80; P = .048). Average clinical follow-up wassimilar in both groups (23.9 v 23.2 months; P > .05). At last available follow-up, there were more deaths in those greater than or equal to 75 years (7/19 v 5/70; P = .038). No significant difference was found in the incidence of dialysis after intervention (3/19 v 7/70). Seventy-four percent of those greater than or equal to 75 years had improved BP, 21% were stable, and5% were worse. Renal function was improved in 26%, stable in 53%, and worse in 21%. Among those greater than or equal to 75 years, there was a significant decrease in systolic BP (186.9 to 144.4; P < .01). There was a trend toward decreased diastolic BP and medications. These clinical results did not differ significantly from patients <75 years. Patients greater than or equal to 75 years of age with atherosclerotic renovascular disease have a higher incidence of mortality 2 years after renal artery stent placement, but they seem to derive clinical benefit comparableto younger patients. Am J Hypertens. 2001;14:983-988 (C) 2001 American Journal of Hypertension, Ltd.

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Documento generato il 25/11/20 alle ore 01:30:18