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Percutaneous transluminal renal angioplasty (PTRA) and surgical revascularisation in renovascular disease - A retrospective comparison of results, complications, and mortality

Alhadad, Alaa LU ; Ahle, M; Ivancev, Krassi LU ; Gottsäter, Anders LU and Lindblad, Bengt LU (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)
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author
organization
publishing date
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
2007-09-03 15:13:48
date last changed
2017-08-20 04:34:59
@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 &lt; 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 &lt; 0.0001). After a median follow-up of 4 months (IQR 0-13) systolic and diastolic blood pressure (BP) had decreased (p &lt; 0.0001) in both groups. The number of antihypertensive drugs was reduced (p &lt; 0.0001) and S-creatinine levels were unchanged in both groups. Longtime survival assessed with log-rank analysis was better (p &lt; 0.01) in the PTRA group. The risk ratio for death with open revascularisation was 1.69 (p &lt; 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},
  keyword      = {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},
  volume       = {27},
  year         = {2004},
}