TY - JOUR
TI - Renal artery stenting for renal insufficiency in solitary kidney in 26
patients
AU - Chatziioannou, A
AU - Mourikis, D
AU - Agroyannis, B
AU - Katsenis, K and
AU - Pneumaticos, S
AU - Antoniou, A
AU - Dimakakos, P
AU - Vlachos, L
JO - European Journal of Vascular and Endovascular Surgery
PY - 2002
VL - 23
TODO - 1
SP - 49-54
PB - W B SAUNDERS CO LTD
SN - 1078-5884, 1532-2165
TODO - 10.1053/ejvs.2001.1535
TODO - renal insufficiency; renal artery stenting; solitary kidney
TODO - Objective: to present our experience with stent placement in renal
arteries in solitary kidneys for treating renal insufficiency
Design: retrospective analysis.
Materials: in 26 patients With solitary kidney (17 men, 9 women, Mean
age: 63 years), presented with renal insufficiency (se-creat >0.144
mmol/l), stent was placed in a stenosed renal artery. We analysed the
clinical outcome, based on the level of creatinine at 3 months following
the procedure. Clinical benefit was considered when there was a decrease
compared to the baseline creatinine by >20% or a stabilisation of the
creatinine value (+/-20% of the baseline).
Results: in 16 of the 26 patients (62%), clinical benefit Teas
achieved. However, 38% of the study population, renal function
continued to deteriorate. Baseline creatinine value was the single best
predictor for clinical benefit achievement (odds ratio: 13; 95%
confidence intervals: 1.6-107, p=0.01).
Conclusion: renal stenting results in improvement or stabilisation of
renal function in the majority of the patients with solitary kidneys and
renal artery stenosis, presenting with renal insufficiency. Because best
outcome was observed mainly in those patients with not progressed renal
insufficiency, intervention should be focused oil that group.
ER -