Percutaneous transluminal dilatation of the renal arteries: techniques and results.

Abstract:

:The techniques and results of percutaneous transluminal angioplasty (TPA) of the renal arteries were evaluated in 20 hypertensive patients with 25 renal artery stenoses. Follow-up angiograms have been obtained in nine patients. Many patients had evidence of both essential and angiotensinogenic hypertension. Eleven patients had evidence of severe diffuse atherosclerotic disease, and nine patients had evidence of renal insufficiency. The mean systolic pressures before and after PTA were 203.80 and 150.30, respectively. The mean diastolic pressures before and after PTA were 117.45 and 85.95, respectively. Ten patients were cured. Six patients with long histories of hypertension and a recent increase in blood pressure were classified as having blood pressure easier to control with antihypertensive medication following PTA. Three patients failed to respond to PTA, and one patient was a technical failure. The advantages of this technique include avoidance of general anesthesia and a major surgical procedure, decreased cost, and a shortened hospital stay. The technique can be easily repeated if necessary, and future surgical intervention is not precluded if the method is unsuccessful.

journal_name

Radiology

journal_title

Radiology

authors

Tegtmeyer CJ,Dyer R,Teates CD,Ayers CR,Carey RM,Wellons HA Jr,Stanton LW

doi

10.1148/radiology.135.3.7384440

subject

Has Abstract

pub_date

1980-06-01 00:00:00

pages

589-99

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

135

pub_type

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