Predictors of clinical outcome after stent placement in atherosclerotic renal artery stenosis: a systematic review and meta-analysis of prospective studies.
作者： Rianne A Ronden , Alfons J Houben , Alfons G Kessels , Coen D Stehouwer , Peter W de Leeuw
DOI: 10.1097/HJH.0B013E32833EC392
关键词:
摘要: OBJECTIVE: To determine clinical predictors for blood pressure and/or renal function improvement after artery stent placement in atherosclerotic stenosis (ARAS). METHODS: We searched PubMed, EMBASE and Cochrane databases prospective studies investigating predictive variables ARAS. Eleven (1552 participants) were selected our systematic review meta-analysis. Meta-regression analysis was performed to investigate heterogeneity independent the outcome variables. Bias evaluated by use of risk bias tool. RESULTS: Multivariate meta-regression showed no improvement. High baseline diastolic (DBP) pulse significantly associated with decrease intervention. These results consistent reported individual studies. Meta-analysis a nonsignificant decline serum creatinine 4.7 mumol/l [95% confidence interval (Cl) -13.8 4.5]. Overall, systolic (SBP) fell 19.2 mmHg (95% Cl -22.7 -15.7) DBP decreased 8.9 -10.8 -7.0). Risk present majority CONCLUSIONS: The did not find characteristic that reliably predicts outcome. predicted smaller SBP intervention best predictor larger reduction high pretreatment DBP.
narcis.nl参考文章(49)
Robert A. Bucek, Stefan Puchner, Markus Reiter, Albert Dirisamer, Erich Minar, Johannes Lammer, Long-term follow-up after renal artery stenting. Wiener Klinische Wochenschrift. ,vol. 115, pp. 788- 792 ,(2003) , 10.1007/BF03040504
Revascularization versus medical therapy for renal-artery stenosis. The New England Journal of Medicine. ,vol. 361, pp. 1953- 1962 ,(2009) , 10.1056/NEJMOA0905368
F. Stacul, S. Gava, M. Belgrano, S. Cernic, L. Pagnan, F. Pozzi Mucelli, M. A. Cova, Renal artery stenosis: comparative evaluation of gadolinium-enhanced MRA and DSA. Radiologia Medica. ,vol. 113, pp. 529- 546 ,(2008) , 10.1007/S11547-008-0270-9
Trude C. Gill-Leertouwer, Elma J. Gussenhoven, Johanna L. Bosch, Jaap Deinum, Hans van Overhagen, Frans H.M. Derkx, Peter M.T. Pattynama, Predictors for clinical success at one year following renal artery stent placement. Journal of Endovascular Therapy. ,vol. 9, pp. 495- 502 ,(2002) , 10.1177/152660280200900419
Thomas Zeller, Christian Müller, Ulrich Frank, Karlheinz Bürgelin, Barbara Horn, Uwe Schwarzwälder, Nancy Cook-Bruns, Franz-Josef Neumann, Stent angioplasty of severe atherosclerotic ostial renal artery stenosis in patients with diabetes mellitus and nephrosclerosis Catheterization and Cardiovascular Interventions. ,vol. 58, pp. 510- 515 ,(2003) , 10.1002/CCD.10435
A. Chatziioannou, D. Mourikis, B. Agroyannis, K. Katsenis, S. Pneumaticos, A. Antoniou, P. Dimakakos, L. Vlachos, Renal artery stenting for renal insufficiency in solitary kidney in 26 patients. European Journal of Vascular and Endovascular Surgery. ,vol. 23, pp. 49- 54 ,(2002) , 10.1053/EJVS.2001.1535
Robert D. Safian, Stephen C. Textor, Renal-Artery Stenosis The New England Journal of Medicine. ,vol. 344, pp. 431- 442 ,(2001) , 10.1056/NEJM200102083440607
PN Harden, MJ MacLeod, RSC Rodger, GM Baxter, JMC Connell, AF Dominiczak, BJR Junor, JD Briggs, JG Moss, Effect of renal-artery stenting on progression of renovascular renal failure The Lancet. ,vol. 349, pp. 1133- 1136 ,(1997) , 10.1016/S0140-6736(96)10093-3
Gerald Dorros, Michael Jaff, Lynne Mathiak, Thomas He, Multicenter Palmaz stent renal artery stenosis revascularization registry report: four-year follow-up of 1,058 successful patients. Catheterization and Cardiovascular Interventions. ,vol. 55, pp. 182- 188 ,(2002) , 10.1002/CCD.3050
C. Michael Gross, Jochen Krämer, Jürgen Waigand, Frank Uhlich, Heike Olthoff, Friedrich C. Luft, Rainer Dietz, Ostial renal artery stent placement for atherosclerotic renal artery stenosis in patients with coronary artery disease Catheterization and Cardiovascular Diagnosis. ,vol. 45, pp. 1- 8 ,(1998) , 10.1002/(SICI)1097-0304(199809)45:1<1::AID-CCD1>3.0.CO;2-7