Renovascular hypertension treated with percutaneo

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Publish Date: 2002/12

Volume: 11, Issue: 01, Pages: 30-37

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Abstract

Eighty seven cases of renovascular hypertension were treated with percutaneous transluminal angioplasty PTA between October 1981 and October 1997 Athrosclerosis was the etiology of renal artery lesions in 14 cases 161 arthritis in 65 cases 747 and fibromuscular dysplasia FMD in 8 cases 92 There were 116 renal arteries suffered Unilateral disease was in 48 cases bilateral was in 39 cases Average length of stenostic segment was 90 ± 575 mm mean ± SD before PTA the wide was 181 ± 099 mm after PTA the average wide was 395 ± 129 mm The systolic blood pressure was 198 ± 34 mmHg diastolic was 124 ± 23 mmHg before treatment At the followup period 51 1–168 months the systolic blood pressure was 144 ± 15 mmHg and diastolic pressure was 93 ± 13 mmHg The morbidity rate in this series was 8 one false aneurysm at the puncture site one renal artery dissection two renal artery thrombosed and three bleeding at the puncture site There was no mortality The cureimprove rate in athrosclerosis cases was 571 in arteritis cases was 816 FMD was 875 The conclusion was PTA should be considered as the first choice for the treatment of renovascular hypertension especially for the arthritis patients

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