|
|
|
| Comparative study of the efficacy of transbrachial and transfemoral approaches for percutaneous renal artery stenting |
| LIU Xinlin1, ZHAO Jihong1, ZHOU Binwei1, ZHAO Xiaochuan1, and SUN Tao2 |
1.Department of Cardiology, Affiliated Hospital, Logistics College of Chinese People’s Armed Police Force, Tianjin 300162, China;
2.. Department of Clinical Laboratory, General Hospital of Chinese People’s Armed Police Force, Beijing100039, China |
|
|
|
|
Abstract Objective To compare the safety and efficacy of transbrachial and transfemoral approaches for percutaneous renal artery stenting (PTRAS).Methods The clinical data of 132 patients with renal artery stenosis (RAS) who underwent PTRAS were retrospectively analyzed. The clinical data and interventional operation parameters of patients treated with brachial artery and femoral artery were compared.Results The preoperative systolic blood pressure (150.72±22.57) mmHg in all patients (n=132) significantly decreased compared with the postoperative systolic blood pressure (136.67±20.43) mmHg (t=4.974, P<0.01). And the difference was statistically significant (t=4.418, P<0.01) between the preoperative diastolic blood pressure (81.46±12.19) mmHg and the postoperative diastolic blood pressure (76.52±10.45) mmHg. Six months after operation, all patients were followed up, compared with the preoperative, the systolic blood pressure (132.20±20.42) mmHg and the diastolic blood pressure(74.22±10.57)mmHg significantly decreased, and the difference was statistically significant (P<0.01). There was no significant difference between the two groups in the degree of stenosis, the average length of the stent, the average diameter of the stent, the bleeding complications, the average operation time and the dosage of the contrast agent.Conclusions The transbrachial approach is an effective alternative transfemoral approach in the PTRAS.
|
|
Received: 27 January 2016
|
|
|
|
|
|
| [1] |
Tendera M, Aboyans V, Bartelink M L, et al. ESC guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC) [J]. Eur Heart J,2011,32(22):2851-2906.
|
| [2] |
Zeller T. Percutaneous endovascular therapy of renal artery stenosis: technical and clinical developments in the past decade [J]. J Endovasc Ther,2004,11(Ⅱ)96-106.
|
| [3] |
陈少伯,姜铁民,赵季红,等. 经右侧肱动脉入路肾动脉支架1例 [J].临床荟萃,2006,21(3):208-209.
|
| [4] |
罗建方,王慧勇,黄文晖,等. 经桡动脉途径肾动脉狭窄介入治疗的初步经验 [J].中国介入心脏病学杂志,2011,19(5):241-244.
|
| [5] |
刘 媛,罗建方,黄文晖,等. 老年腹主动脉瘤患者冠状动脉造影的临床意义[J]. 中华心血管病学杂志,2011,39(1):53-56.
|
| [6] |
Bax L, Woittiez A J, Kouwenberg H J, et al. Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial [J]. Ann Intern Med,2009,150(12):840-848, W150-841.
|
| [7] |
Hohmann E L. Gene therapy--still a work in clinical and regulatory progress [J]. N Engl J Med,2009,361(2):193-195.
|
| [8] |
Murphy T P, Cooper C J, Matsumoto A H, et al. Renal artery stent outcomes: effect of baseline blood pressure, stenosis severity, and translesion pressure gradient [J]. J Am Coll Cardiol,2015,66(22):2487-2494.
|
| [9] |
Zeller T, Macharzina R, Rastan A, et al. Renal artery stenosis: up-date on diagnosis and treatment [J]. Vasa,2014,43(1):27-38.
|
| [10] |
Guo X, Li P, Liu G, et al. Value of fractional flow reserve measurement in intracavitary therapy for patients with moderate renal artery stenosis[J]. Zhonghua Xin Xue Guan Bing Za Zhi,2015,43(5):413-417.
|
| [11] |
Scheinert D, Braunlich S, Nonnast-Daniel B, et al. Transradial approach for renal artery stenting [J]. Catheter Cardiovasc Interv,2001,54(4):442-447.
|
| [12] |
WT. W. Origin of the renal arteries from the sides of aorta[J]. Folia Morphol (Warsz),2000,58:259- 261.
|
|
|
|
2016, Vol. 27 
