E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Article 


Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh.

Abstract
Aim: The aim was to assess the effect of renal angioplasty with stent on systolic, diastolic, and mean arterial
blood pressure (MAP) in awake and sleep time with ambulatory blood pressure (ABP) monitoring (Holter
monitoring). Materials and Methods Patients with angiographically proven atherosclerotic renal artery stenosis
(RAS) were referred to the Angiography Department of Imam Hospital for intervention during a 1-year period
from June 2008 to December 2009. Primary stent placement was attempted by a single operator in 27 severe
RAS cases although 1 case was omitted from the study because of technical failure. Pre- and postprocedure
creatinine levels, ejection fraction (EF), history of diabetes mellitus (DM), and ABP were obtained. Twenty-six
(17 men, 9 women; average age, 62.6 years; age range, 90–21 years) consecutive patients participated in the
study. Results: All patients had severe hypertension resistant to multiple medications; 10 patients had impaired
renal function (serum creatinine level greater than 130 μmol/L). A total of 3 (11.5%) patients had congestive heart
failure, and 10 (37.7%) were diabetic. Hypertension was cured in 1 (4%) patient, had improved in 23 (88.4%)
patients, and had failed to respond to treatment in 2 (7.6%). Serum creatinine decreased significantly from 1.46
± 0.89 to 1.35 ± 0.61 mg/dL (P<0.05). Conclusion: Percutaneous transluminal angioplasty for atheromatous
RAS rarely “cures” hypertension, but improved blood pressure control is often achieved.

Key words: Ambulatory blood pressure, atherosclerosis, hypertension


 
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How to Cite this Article
Pubmed Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. J Cardiovasc. Dis. Res.. 2011; 2(1): 36-43. doi:10.4103/0975-3583.78585


Web Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. http://www.jcdronline.org/?mno=93004 [Access: January 16, 2022]. doi:10.4103/0975-3583.78585


AMA (American Medical Association) Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. J Cardiovasc. Dis. Res.. 2011; 2(1): 36-43. doi:10.4103/0975-3583.78585



Vancouver/ICMJE Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. J Cardiovasc. Dis. Res.. (2011), [cited January 16, 2022]; 2(1): 36-43. doi:10.4103/0975-3583.78585



Harvard Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh (2011) Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. J Cardiovasc. Dis. Res., 2 (1), 36-43. doi:10.4103/0975-3583.78585



Turabian Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. 2011. Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. Journal of Cardiovascular Disease Research, 2 (1), 36-43. doi:10.4103/0975-3583.78585



Chicago Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. "Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases." Journal of Cardiovascular Disease Research 2 (2011), 36-43. doi:10.4103/0975-3583.78585



MLA (The Modern Language Association) Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh. "Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases." Journal of Cardiovascular Disease Research 2.1 (2011), 36-43. Print. doi:10.4103/0975-3583.78585



APA (American Psychological Association) Style

Seyed Mohammad Hassan Adel, Seyed Masood Syeidian, Mohammad Najafi, Mohammad nourizadeh (2011) Clinical efficacy of percutaneous renal revascularization with stent placement in hypertension among patients with atherosclerotic renovascular diseases. Journal of Cardiovascular Disease Research, 2 (1), 36-43. doi:10.4103/0975-3583.78585





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