Ostial renal artery stent placement for atherosclerotic renal artery stenosis in patients with coronary artery disease

• Published in: Catheterization and cardiovascular diagnosis Vol. 45; no. 1; p. 1
• Main Authors: Gross, C M, Krämer, J, Waigand, J, Uhlich, F, Olthoff, H, Luft, F C, Dietz, R
• Format: Journal Article
• Language: English
• Published: United States 01.09.1998
• Subjects: Adult; Aged; Aged, 80 and over; Angiography; Angiotensin-Converting Enzyme Inhibitors - therapeutic use; Arteriosclerosis - diagnosis; Arteriosclerosis - therapy; Combined Modality Therapy; Coronary Artery Disease - diagnosis; Coronary Artery Disease - therapy; Creatinine - blood; Female; Humans; Hypertension, Renovascular - diagnosis; Hypertension, Renovascular - therapy; Male; Middle Aged; Recurrence; Renal Artery Obstruction - diagnosis; Renal Artery Obstruction - therapy; Stents; Treatment Outcome
• ISSN: 0098-6569
• DOI: 10.1002/(SICI)1097-0304(199809)45:1<1::AID-CCD1>3.0.CO;2-7

To test the utility of endoprosthetic treatment for ostial renal artery stenosis, and to examine blood pressure and its treatment, serum creatinine, and restenosis rate, 44 ostial renal stent placements were performed in 30 patients with concomitant coronary artery disease, arterial hypertension, and the indication for angiotensin converting enzyme (ACE) therapy. There was a marked decrease in systolic and diastolic blood pressure (163+/-30 to 145+/-17 and 93+/-18 to 83+/-10 mm Hg; P < 0.008) with a decrease in number of medication (3.2+/-0.9 to 2.8+/-1.0; P = 0.005). In 5 out of 8 patients not receiving an ACE inhibitor, this drug could be added. Serum creatinine changed from 1.46+/-0.7 mg/dl to 1.39+/-0.58 mg/dl (P = ns). Three patients showed restenosis (12.5%). Ostial stenting lowers blood pressure, decreases antihypertensive drugs and increases medication flexibility.