Percutaneous transluminal renal angioplasty (PTRA) and surgical revascularisation in renovascular disease - A retrospective comparison of results, complications, and mortality
(2004) In European Journal of Vascular and Endovascular Surgery 27(2). p.151-156- Abstract
- Objective. To evaluate results, complications and mortality following percutaneous transluminal renal angioplasty (PTRA) and open surgical revascularisation for renovascular disease. Methods. A retrospective evaluation of 381 renovascular patients (median age 64, range 9-99 years, 152 women) treated at Malmo University Hospital during 1987-1996. Two hundred and sixty-two (69%) of the patients were treated with PTRA, 106 (28%) with open revascularisation. Results. Thirty-day mortality was 2% in the PTRA group and 9% after open surgery (p < 0.001). There were no differences between groups concerning the number of re-do procedures, but first re-do was performed after seven (IQR 3-14) months in the PTRA group, and after 15 (IQR 10-44)... (More)
- Objective. To evaluate results, complications and mortality following percutaneous transluminal renal angioplasty (PTRA) and open surgical revascularisation for renovascular disease. Methods. A retrospective evaluation of 381 renovascular patients (median age 64, range 9-99 years, 152 women) treated at Malmo University Hospital during 1987-1996. Two hundred and sixty-two (69%) of the patients were treated with PTRA, 106 (28%) with open revascularisation. Results. Thirty-day mortality was 2% in the PTRA group and 9% after open surgery (p < 0.001). There were no differences between groups concerning the number of re-do procedures, but first re-do was performed after seven (IQR 3-14) months in the PTRA group, and after 15 (IQR 10-44) months after open revascularisation (p < 0.0001). After a median follow-up of 4 months (IQR 0-13) systolic and diastolic blood pressure (BP) had decreased (p < 0.0001) in both groups. The number of antihypertensive drugs was reduced (p < 0.0001) and S-creatinine levels were unchanged in both groups. Longtime survival assessed with log-rank analysis was better (p < 0.01) in the PTRA group. The risk ratio for death with open revascularisation was 1.69 (p < 0.01). Conclusions. In this retrospective comparison, PTRA was as effective as open revascularisation, with lower complication rate and lower early and long-time mortality, but with shorter time to first re-do. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/289479
- author
- Alhadad, Alaa LU ; Ahle, M ; Ivancev, Krassi LU ; Gottsäter, Anders LU and Lindblad, Bengt LU
- organization
- publishing date
- 2004
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- open renal vascularisation, renal artery stenosis, PTRA, long-term, follow-up
- in
- European Journal of Vascular and Endovascular Surgery
- volume
- 27
- issue
- 2
- pages
- 151 - 156
- publisher
- Elsevier
- external identifiers
-
- wos:000188418100006
- pmid:14718896
- scopus:1642431758
- ISSN
- 1532-2165
- DOI
- 10.1016/j.ejvs.2003.10.009
- language
- English
- LU publication?
- yes
- id
- fb58c6cf-273d-4efe-ba23-78c261857cff (old id 289479)
- date added to LUP
- 2016-04-01 17:14:44
- date last changed
- 2022-01-29 01:22:35
@article{fb58c6cf-273d-4efe-ba23-78c261857cff,
abstract = {{Objective. To evaluate results, complications and mortality following percutaneous transluminal renal angioplasty (PTRA) and open surgical revascularisation for renovascular disease. Methods. A retrospective evaluation of 381 renovascular patients (median age 64, range 9-99 years, 152 women) treated at Malmo University Hospital during 1987-1996. Two hundred and sixty-two (69%) of the patients were treated with PTRA, 106 (28%) with open revascularisation. Results. Thirty-day mortality was 2% in the PTRA group and 9% after open surgery (p < 0.001). There were no differences between groups concerning the number of re-do procedures, but first re-do was performed after seven (IQR 3-14) months in the PTRA group, and after 15 (IQR 10-44) months after open revascularisation (p < 0.0001). After a median follow-up of 4 months (IQR 0-13) systolic and diastolic blood pressure (BP) had decreased (p < 0.0001) in both groups. The number of antihypertensive drugs was reduced (p < 0.0001) and S-creatinine levels were unchanged in both groups. Longtime survival assessed with log-rank analysis was better (p < 0.01) in the PTRA group. The risk ratio for death with open revascularisation was 1.69 (p < 0.01). Conclusions. In this retrospective comparison, PTRA was as effective as open revascularisation, with lower complication rate and lower early and long-time mortality, but with shorter time to first re-do.}},
author = {{Alhadad, Alaa and Ahle, M and Ivancev, Krassi and Gottsäter, Anders and Lindblad, Bengt}},
issn = {{1532-2165}},
keywords = {{open renal vascularisation; renal artery stenosis; PTRA; long-term; follow-up}},
language = {{eng}},
number = {{2}},
pages = {{151--156}},
publisher = {{Elsevier}},
series = {{European Journal of Vascular and Endovascular Surgery}},
title = {{Percutaneous transluminal renal angioplasty (PTRA) and surgical revascularisation in renovascular disease - A retrospective comparison of results, complications, and mortality}},
url = {{http://dx.doi.org/10.1016/j.ejvs.2003.10.009}},
doi = {{10.1016/j.ejvs.2003.10.009}},
volume = {{27}},
year = {{2004}},
}