Palmaz stent in atherosclerotic stenoses involving the ostia of the renal arteries: Preliminary report of a multicenter study

Chet R. Rees, Julio C Palmaz, Gary J. Becker, Karen O. Ehrman, Goetz M. Richter, Gerd Noeldge, Barry T. Katzen, Michael D. Dake, Donald E. Schwarten

Research output: Contribution to journalArticle

252 Citations (Scopus)

Abstract

Palmaz balloon-expandable stents were placed in 28 hypertensive patients with atherosclerosis involving the ostia of the renal arteries. Stents were placed to treat elastic recoil immediately after conventional angioplasty in 20 patients and restenosis after percutaneous transluminal angioplasty in eight patients. Technical success (< 30% residual stenosis) was achieved in 27 patients. Complications occurred in five patients. At follow-up (1-25 months), hypertension was cured in three patients and improved in 15 patients, with a cumulative cure or improvement of 64% at 6 months. Of 14 patients with a serum creatinine level of 1.5 mg/dL (132.6 μmol/L) or greater before the placement of stents, five demonstrated improved renal function, five showed stabilization of their condition, and four demonstrated deterioration. Follow-up angiography (2-18 months) was performed in 18 patients. Restenosis was present in seven patients and was accompanied by a relapse of hypertension in only three patients. Of the other four patients with restenosis, two had no initial improvement and two had an initial response without a relapse of hypertension. In this preliminary study, renal stents were beneficial in many patients with poor results from conventional angioplasty for ostial atheroma.

Original languageEnglish (US)
Pages (from-to)507-514
Number of pages8
JournalRadiology
Volume181
Issue number2
StatePublished - Nov 1991

Fingerprint

Renal Artery
Multicenter Studies
Stents
Pathologic Constriction
Angioplasty
Hypertension
Kidney
Recurrence
Atherosclerotic Plaques
Creatinine
Atherosclerosis
Angiography

Keywords

  • Arteries, grafts and prostheses, 961.456, 961.458
  • Renal arteries, stenosis or obstruction, 961.721, 961.723
  • Renal arteries, transluminal angioplasty, 961.128, 961.12988, 961.454

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Rees, C. R., Palmaz, J. C., Becker, G. J., Ehrman, K. O., Richter, G. M., Noeldge, G., ... Schwarten, D. E. (1991). Palmaz stent in atherosclerotic stenoses involving the ostia of the renal arteries: Preliminary report of a multicenter study. Radiology, 181(2), 507-514.

Palmaz stent in atherosclerotic stenoses involving the ostia of the renal arteries : Preliminary report of a multicenter study. / Rees, Chet R.; Palmaz, Julio C; Becker, Gary J.; Ehrman, Karen O.; Richter, Goetz M.; Noeldge, Gerd; Katzen, Barry T.; Dake, Michael D.; Schwarten, Donald E.

In: Radiology, Vol. 181, No. 2, 11.1991, p. 507-514.

Research output: Contribution to journalArticle

Rees, CR, Palmaz, JC, Becker, GJ, Ehrman, KO, Richter, GM, Noeldge, G, Katzen, BT, Dake, MD & Schwarten, DE 1991, 'Palmaz stent in atherosclerotic stenoses involving the ostia of the renal arteries: Preliminary report of a multicenter study', Radiology, vol. 181, no. 2, pp. 507-514.
Rees CR, Palmaz JC, Becker GJ, Ehrman KO, Richter GM, Noeldge G et al. Palmaz stent in atherosclerotic stenoses involving the ostia of the renal arteries: Preliminary report of a multicenter study. Radiology. 1991 Nov;181(2):507-514.
Rees, Chet R. ; Palmaz, Julio C ; Becker, Gary J. ; Ehrman, Karen O. ; Richter, Goetz M. ; Noeldge, Gerd ; Katzen, Barry T. ; Dake, Michael D. ; Schwarten, Donald E. / Palmaz stent in atherosclerotic stenoses involving the ostia of the renal arteries : Preliminary report of a multicenter study. In: Radiology. 1991 ; Vol. 181, No. 2. pp. 507-514.
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