Presentation is loading. Please wait.

Presentation is loading. Please wait.

Thomas A. Simone, MD, Benjamin S. Brooke, MD, PhD, Philip P

Published byKaarina Hovinen Modified over 5 years ago

Similar presentations

Presentation on theme: "Thomas A. Simone, MD, Benjamin S. Brooke, MD, PhD, Philip P"— Presentation transcript:

1 Clinical effectiveness of secondary interventions for restenosis after renal artery stenting 
Thomas A. Simone, MD, Benjamin S. Brooke, MD, PhD, Philip P. Goodney, MD, MS, Daniel B. Walsh, MD, David H. Stone, MD, Richard J. Powell, MD, Jack L. Cronenwett, MD, Brian W. Nolan, MD, MS  Journal of Vascular Surgery  Volume 58, Issue 3, Pages (September 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Interventions in the patient cohorts. A total of 216 primary interventions were identified in 180 patients. Seven patients undergoing intervention for fibromuscular dysplasia were excluded. Within this cohort, we identified 57 patients who subsequently underwent 65 secondary interventions for restenosis associated with worsening renovascular hypertension or renal dysfunction, or both. Outcomes after these secondary interventions were compared with outcomes after primary interventions, with each primary and secondary renal artery intervention comprising the unit of analysis for comparison. PSV, Peak systolic velocity; RAR, renal artery ratio. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Blood pressure and renal function improvement are illustrated after primary vs secondary interventions. Patients undergoing secondary interventions had improvement in blood pressure at last follow-up that was comparable with patients undergoing primary interventions by American Heart Association (AHA) criteria. NS, Not significant. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Rates of freedom from restenosis according to duplex ultrasound (DUS) criteria were similar after secondary and primary interventions at 1-year (13% secondary vs 16% primary) and 3-year (50% secondary vs 59% primary) follow-up intervals. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Average peak systolic velocity (PSV) on duplex ultrasound (DUS) imaging was significantly lower at 1 month than the average PSV before primary intervention and reintervention. The average PSV between primary intervention and reintervention was not significant (NS). The range bars show the standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

6 Fig 5 There was no difference in 3-year patient survival by Kaplan-Meier life-table analysis between patients after secondary interventions compared with patients who underwent only primary interventions. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Download ppt "Thomas A. Simone, MD, Benjamin S. Brooke, MD, PhD, Philip P"

Similar presentations

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Clinical and kidney morphologic predictors of outcome for renal artery stenting: Data to inform patient selection  J. Gregory Modrall, MD, Eric B. Rosero,

Clinical and kidney morphologic predictors of outcome for renal artery stenting: Data to inform patient selection  J. Gregory Modrall, MD, Eric B. Rosero,
Renal duplex ultrasound findings in fenestrated endovascular aortic repair for juxtarenal aortic aneurysms  Rachel E. Heneghan, MD, Benjamin W. Starnes,

Renal duplex ultrasound findings in fenestrated endovascular aortic repair for juxtarenal aortic aneurysms  Rachel E. Heneghan, MD, Benjamin W. Starnes,
Carotid stenting versus endarterectomy in patients undergoing reintervention after prior carotid endarterectomy  Margriet Fokkema, MD, Gert Jan de Borst,

Carotid stenting versus endarterectomy in patients undergoing reintervention after prior carotid endarterectomy  Margriet Fokkema, MD, Gert Jan de Borst,
Courtney J. Warner, MD, MS, Spencer W. Greaves, MPH, Robin J

Courtney J. Warner, MD, MS, Spencer W. Greaves, MPH, Robin J
Optimal selection of asymptomatic patients for carotid endarterectomy based on predicted 5-year survival  Jessica B. Wallaert, MD, MS, Jack L. Cronenwett,

Optimal selection of asymptomatic patients for carotid endarterectomy based on predicted 5-year survival  Jessica B. Wallaert, MD, MS, Jack L. Cronenwett,
Pedal bypass versus tibial bypass with autogenous vein: A comparison of outcome and hemodynamic results  Joseph R. Schneider, MD, PhD, Daniel B. Walsh,

Pedal bypass versus tibial bypass with autogenous vein: A comparison of outcome and hemodynamic results  Joseph R. Schneider, MD, PhD, Daniel B. Walsh,
Philip P. Goodney, MD, MS, Benjamin S

Philip P. Goodney, MD, MS, Benjamin S
Restenosis in gold-coated renal artery stents

Restenosis in gold-coated renal artery stents
Comparison of carotid endarterectomy and stenting in real world practice using a regional quality improvement registry  Brian W. Nolan, MD, MS, Randall.

Comparison of carotid endarterectomy and stenting in real world practice using a regional quality improvement registry  Brian W. Nolan, MD, MS, Randall.
Regional use of combined carotid endarterectomy/coronary artery bypass graft and the effect of patient risk  Douglas W. Jones, MD, David H. Stone, MD,

Regional use of combined carotid endarterectomy/coronary artery bypass graft and the effect of patient risk  Douglas W. Jones, MD, David H. Stone, MD,
Duplex Ultrasound Criteria for Renal Artery In-Stent Restenosis

Duplex Ultrasound Criteria for Renal Artery In-Stent Restenosis
Comparison of covered stents versus bare metal stents for treatment of chronic atherosclerotic mesenteric arterial disease  Gustavo S. Oderich, MD, Luke.

Comparison of covered stents versus bare metal stents for treatment of chronic atherosclerotic mesenteric arterial disease  Gustavo S. Oderich, MD, Luke.
Severity of chronic obstructive pulmonary disease is associated with adverse outcomes in patients undergoing elective abdominal aortic aneurysm repair 

Severity of chronic obstructive pulmonary disease is associated with adverse outcomes in patients undergoing elective abdominal aortic aneurysm repair 
Stenting of femoropopliteal lesions using interwoven nitinol stents

Stenting of femoropopliteal lesions using interwoven nitinol stents
Jason W. Christie, MD, Thomas D. Conlee, MD, Timothy E

Jason W. Christie, MD, Thomas D. Conlee, MD, Timothy E
A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients  Philip P. Goodney,

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients  Philip P. Goodney,
Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W

Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W
Richard R. Proia, MD, Daniel B. Walsh, MD, Peter R. Nelson, MD, John P

Richard R. Proia, MD, Daniel B. Walsh, MD, Peter R. Nelson, MD, John P
Impact of diabetes mellitus on outcomes of superficial femoral artery endoluminal interventions  Andrew M. Bakken, MD, Eugene Palchik, MD, Joseph P. Hart,

Impact of diabetes mellitus on outcomes of superficial femoral artery endoluminal interventions  Andrew M. Bakken, MD, Eugene Palchik, MD, Joseph P. Hart,

Similar presentations

Ads by Google