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Renal angioplasty: experiences with 94 patients

E Löhr, H C Weichert, R Funke-Volkers

    Urologic Radiology
    |January 1, 1982
    PubMed

    Insights

    Percutaneous transluminal angioplasty (PTA) effectively treated renovascular hypertension in most patients. This minimally invasive procedure lowered blood pressure and preserved kidney function, even with severe arteriosclerosis.

    Area of Science:

    • Cardiology
    • Nephrology
    • Vascular Surgery

    Background:

    • Renovascular stenosis is a significant cause of secondary hypertension.
    • Effective management is crucial to prevent kidney damage and cardiovascular events.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous transluminal angioplasty (PTA) for hypertension secondary to renovascular stenosis.
    • To identify predictors of successful PTA outcomes and assess its role in kidney preservation.

    Main Methods:

    • A cohort of 94 patients with renovascular stenosis underwent PTA.
    • Intraluminal blood pressure monitoring was used to assess procedural success.
    • Nuclear studies were employed for patient follow-up.

    Main Results:

    • PTA was successful in 76 out of 94 patients (80.9%).
    • The balloon catheter technique demonstrated high success rates even in cases of severe arteriosclerosis, with minimal complications.
    • Intraluminal blood pressure recording proved to be the most reliable predictor of successful outcomes.

    Conclusions:

    • PTA is a safe and effective treatment for hypertension caused by renovascular stenosis.
    • The procedure successfully lowers blood pressure and helps salvage diseased kidneys.
    • Intraluminal pressure monitoring is key for predicting success, and nuclear studies aid in long-term patient management.

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