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Titolo:
Techniques for predicting a favourable response to renal angioplasty in patients with renovascular disease
Autore:
Radermacher, J; Weinkove, R; Haller, H;
Indirizzi:
Hannover Med Sch, Dept Nephrol, D-30625 Hannover, Germany Hannover Med Sch Hannover Germany D-30625 rol, D-30625 Hannover, Germany
Titolo Testata:
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION
fascicolo: 6, volume: 10, anno: 2001,
pagine: 799 - 805
SICI:
1062-4821(200111)10:6<799:TFPAFR>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANS-LUMINAL DILATATION; ARTERY STENOSIS; BALLOON ANGIOPLASTY; CAPTOPRIL RENOGRAPHY; INDUCED NEPHROPATHY; RANDOMIZED TRIAL; STENT PLACEMENT; HYPERTENSION; INSUFFICIENCY; PREVENTION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Radermacher, J Hannover Med Sch, Dept Nephrol, POB 61 01 80, D-30625 Hannover, Germany Hannover Med Sch POB 61 01 80 Hannover Germany D-30625 any
Citazione:
J. Radermacher et al., "Techniques for predicting a favourable response to renal angioplasty in patients with renovascular disease", CURR OP NEP, 10(6), 2001, pp. 799-805

Abstract

Renovascular disease is present in some 10-40% of patients with end-stage renal disease, and constitutes the fastest-growing group of end-stage renaldisease patients. The unselective correction of renal artery stenosis has led to disappointing results. Most studies that compared conservative treatment with angioplasty found only modest or no beneficial effects of angioplasty on renal function and blood pressure. It is therefore mandatory to evaluate the functional significance of a stenosis before intervention. Patients with a high likelihood of a favourable response should be identified. Factors that affect outcome include the severity of renal artery stenosis, the procedure used to treat renal artery stenosis (antihypertensive drugs, angioplasty with or without stenting, or surgery), radiocontrast nephrotoxicity, atheroembolism and, most importantly, underlying renal disease, forestalling a favourable response of renal function or blood pressure even after the successful correction of renal artery stenosis. Evaluation of the renalresistance index using Doppler ultrasound or captopril scintigraphy are the best methods by which to classify patients as responders or non-responders to intervention. Each factor has to be considered before the correction of renal artery stenosis to achieve satisfactory results with regard to an improvement in renal function and blood pressure. Curr Opin Nephrol Hypertens 10:799-805. (C) 2001 Lippincott Williams & Wilkins.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 13:39:10