Factors influencing the need for target vessel revascularization after renal artery stenting
Factors influencing the need for target vessel revascularization after renal artery stenting
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DOI：
10.1583/06-1861.1
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发表时间：
2006-10-01
影响因子：
2.6
通讯作者：
Lavigne, Philip S.
中科院分区：
文献类型：
--
作者：
Bates, Mark C.;Rashid, Mitchell;Lavigne, Philip S.
目的：在长期随访期间，对可能与原发性肾动脉支架植入术后需要靶血管血运重建（TVR）相关的因素提供额外的见解。方法：进行了一项回顾性图表和数据库审查，以分析在单名操作者、单中心的主持下接受支架支持血管成形术的所有新发症状性肾动脉狭窄患者的进展，肾支架回顾性研究（SOCRATES）。记录审查确定了1993年至2004年期间入组研究的782例患者;排除34例（4.5%）患者（失访或数据不足）后，748例连续患者（412例女性;平均年龄70.7 ± 9.7岁，范围37-92岁）适合进行纵向分析。TVR的需要是基于严格的临床标准（血清肌酐升高>= 20%，高血压恶化和/或复发性闪光肺水肿），所有患者在支架植入前和随访期间接受多学科评估。877支动脉中有88支（10.03%）需要TVR，患者年龄是最佳预测因素
Purpose: To provide additional insight into factors that may be associated with the need for target vessel revascularization (TVR) following de novo renal artery stenting during long-term follow-up.Methods: A retrospective chart and database review was conducted to analyze the progress of all patients with de novo symptomatic renal artery stenosis who underwent stent-supported angioplasty under the auspices of the Single Operator, Single Center, Renal Stent Retrospective Study (SOCRATES). The records review identified 782 patients who were enrolled in the study between 1993 and 2004; after excluding 34 (4.5%) patients (lost to follow-up or inadequate data), 748 consecutive patients (412 women; mean age 70.7 +/- 9.7 years, range 37-92) were suitable for longitudinal analysis. The need for TVR was based on strict clinical criteria (>= 20% rise in serum creatinine, worsening hypertension, and/or recurrent flash pulmonary edema), and all patients underwent multidisciplinary evaluation before stenting and during follow-up.Results: Follow-up spanned a mean 45.8 +/- 26.5 months. TVR was needed in 88 (10.03%) of 877 arteries and was best predicted by patient age