Semin intervent Radiol 2009; 26(1): 074-081
DOI: 10.1055/s-0029-1208385
HOW I DO IT

© Thieme Medical Publishers

Renal Ostial Angioplasty and Stenting. Part 1: The Routine Procedure

Brian Funaki1
  • 1Section of Vascular and Interventional Radiology, University of Chicago Medical Center, Chicago, Illinois
Further Information

Publication History

Publication Date:
16 March 2009 (online)

Renal ostial stenting (ROS) is the most common endovascular intervention for treatment of atherosclerotic renal artery stenosis. The two most common indications for ROS are refractory hypertension and progressive renal insufficiency. It is important to recognize that this intervention is most often done to mitigate either or both problems and will rarely “cure” either. ROS remains controversial with published data that both support and refute its utility. This article is the first in a two-part series dedicated to performing the “typical” procedure. The second part will deal with common problems and complications.

SUGGESTED READINGS

  • 1 Balk E, Raman G, Chung M et al.. Effectiveness of management strategies for renal artery stenosis: a systematic review.  Ann Intern Med. 2006;  145 901-912
  • 2 Cooper C J, Murphy T P, Matsumoto A et al.. Stent revascularization for the prevention of cardiovascular and renal events among patients with renal artery stenosis and systolic hypertension: rationale and design of the CORAL trial.  Am Heart J. 2006;  152 59-66
  • 3 Dubel G J, Murphy T P. The role of percutaneous revascularization for renal artery stenosis.  Vasc Med. 2008;  13 141-156
  • 4 Hirsch A T, Haskal Z J, Hertzner A R et al.. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation.  Circulation. 2006;  113 e463-e654

Brian FunakiM.D. 

Section of Vascular and Interventional Radiology, University of Chicago Medical Center

5840 S. Maryland Avenue, MC 2026, Chicago, IL 60637

Email: bfunaki@hotmail.com

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