Authors:
Zoltán Ruzsa Cardiac and Vascular Center, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary
Cardiology Division, Invasive Cardiology, Bács-Kiskun County Hospital, Kecskemét, Hungary

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 MD, PhD
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Károly Tóth Cardiology Division, Invasive Cardiology, Bács-Kiskun County Hospital, Kecskemét, Hungary

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Zoltán Jambrik Cardiac and Vascular Center, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary
Cardiology Division, Pándy Kálmán County Hospital, Gyula, Hungary

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Nándor Kovács Cardiology Division, Invasive Cardiology, Bács-Kiskun County Hospital, Kecskemét, Hungary

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Sándor Nardai Cardiac and Vascular Center, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary

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Balázs Nemes Cardiac and Vascular Center, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary

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Kálmán Hüttl Cardiac and Vascular Center, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary
Cardiology Division, Invasive Cardiology, Bács-Kiskun County Hospital, Kecskemét, Hungary

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Béla Merkely Cardiac and Vascular Center, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary

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Abstract

Introduction

Percutaneous interventional procedures in the renal arteries are usually performed using a femoral or brachial vascular access. The transradial approach is becoming more popular for peripheral interventions, but limited data exists for renal artery angioplasty and stenting.

Methods

We have analyzed the clinical, angiographic and technical results of renal artery stenting performed from radial artery access between 2012 and 2013. The radial artery anatomy was identified with aortography using 100 cm pig tail catheter. After engagement of the renal artery ostium with a 6F Multipurpose or 6F JR5 guiding catheter, the stenosis was passed with a 0.014″ guidewire followed by angioplasty and stent implantation.

Results

In 27 patients (mean age: 65.4 ± 9.17) with hemodynamically relevant renal artery stenosis (mean diameter stenosis: 77.7 ± 10.6%; right, n = 7; left, n = 20), interventional treatment with angioplasty and stenting was performed using a left (n = 3) or right (n = 24) radial artery access. Direct stenting was successfully performed in 13 (48%) cases, and predilatations were required in ten cases 10 (37%). Primary technical success (residual stenosis <30%) could be achieved in all cases. The mean contrast consumption was 119 ± 65 ml and the mean procedure time was 30 ± 8.2 min. There were no major periprocedural vascular complications and in one patient transient creatinine level elevation was observed (3.7%). In one patient asymptomatic radial artery occlusion was detected (3.7%).

Conclusion

Transradial renal artery angioplasty and stenting is technically feasible and safe procedure.

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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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