Incidence and associates of renal artery stenosis in patients undergoing peripheral and coronary angiography

Authors

  • Hasit Joshi Associate Professor, U.N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Ahmedabad- 380016, Gujarat
  • Komal Shah U.N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Ahmedabad- 380016, Gujarat

DOI:

https://doi.org/10.7439/ijbar.v6i8.2280

Abstract

Objectives: Increasing prevalence of renal artery stenosis (RAS) in coronary artery disease (CAD) patients has been reported by many.We aimed to study the incidence and risk factorsof renal artery disease in patients undergoing coronary angiography (CAG) and/or peripheral angiography (PAG). Methods: Data of 2209 consecutive patients undergoing CAG and/or PAG followed by renal angiography was collected from January-June 2013. Pervasiveness of risk factors such as hypertension, diabetes, dyslipidemia, smoking, family history and incidence of CADwerestudied. Significant difference in profiles of patients with or without compelling atherosclerotic renal artery stenosis (ARAS) was tested by chi-square and unpaired t-test. Results and conclusion: Of 2209 patients, the prevalence of RAS in the study population was 6.11%. Mean age of the RAS patient group was57.17

Downloads

Download data is not yet available.

References

Zeller T. Renal artery stenosis: epidemiology, clinical manifestation, and percutaneous endovascular therapy. Journal of interventional cardiology 2005; 18(6):497-506.

Gon

Conlon PJ, Little MA, Pieper K, Mark DB. Severity of renal vascular disease predicts mortality in patients undergoing coronary angiography. Kidney international 2001; 60(4):1490-97.

Wang Y, Ho D, Chen W, Wang Y, Lam W, Shen Z, et al. Prevalence and predictors of renal artery stenosis in Chinese patients with coronary artery disease. Internal medicine journal 2003; 33(7):280-85.

Weber-Mzell D, Kotanko P, Schumacher M, Klein W, Skrabal F. Coronary anatomy predicts presence or absence of renal artery stenosis. Eur Heart J 2002; 23:1684-91.

Leertouwer TC, Pattynama PM, Van Den Berg-Huysmans A. Incidental renal artery stenosis in peripheral vascular disease: a case for treatment?. Kidney international 2001; 59(4):1480-83.

Ollivier R, Boulmier D, Veillard D, Leurent G, Mock S, Bedossa M, et al. Frequency and predictors of renal artery stenosis in patients with coronary artery disease. Cardiovascular Revascularization Medicine 2009; 10(1):23-29.

Buller CE, Nogareda JG, Ramanathan K, Ricci DR, Djurdjev O, Tinckam KJ, et al. The profile of cardiac patients with renal artery stenosis. Journal of the American College of Cardiology 2004; 43(9):1606-13.

Rihal CS, Textor SC, Breen JF, McKusick MA, Grill DE, Hallett JW, et al. Incidental renal artery stenosis among a prospective cohort of hypertensive patients undergoing coronary angiography. Mayo Clinic Proceedings 2002; Elsevier.

Bageacu S, Cerisier A, Isaaz K, Nourissat A, Barral X, Favre JP. Incidental visceral and renal artery stenosis in patients undergoing coronary angiography. European Journal of Vascular and Endovascular Surgery 2011; 41(3):385-90.

Yamashita Takehiro, Ito Fumihiro, Iwakiri Naoki, Mitsuyama Hirofumi, Fujii Satoshi, Kitababatake Akira. Prevalence and predictors of renal artery stenosis in patients undergoing cardiac catheterization. Hypertension Research 2002; 25:553

Akram A. Saleh andBasem B. Bustami. Prevalence of renal artery stenosis in patients undergoing routine cardiac catheterization. Saudi Med Journal 2004; 25(1):52-54.

MB. Harding, L.R. Smith, SI. Himmelstein, K. Harrison, H.P. Phillips. S.J. Schwab, J.B. Hermiller. C.J. Davidson, J.M. Bashore, Duke University Medical Center, Durham, NC. Renal Artery Stenosis: Prevalence and Associated Risk Factors in Patients Undergoing Routine Cardiac catherization. Journal of American society of Nephrology 1992; 2:1608-16.

Rokni N, Salarifar M, Kazazi EH, Goodarzynejad H. Frequency and predictors of renal artery stenosis in patients undergoing simultaneous coronary and renal catheterization. The journal of Tehran Heart Center 2012; 7(2):58.

Jean WJ, Al?Bitar I, Zwicke DL, Port SC, Schmidt DH, Bajwa TK. High incidence of renal artery stenosis in patients with coronary artery disease. Catheterization and cardiovascular diagnosis 1994; 32(1):8-10.

Ghaffari S, Sohrabi B, Siahdasht RB, Pourafkari L. Prevalence and predictors of renal artery stenosis in hypertensive patients undergoing coronary angiography. Hypertension Research 2009; 32(11):1009-14.

Crowley JJ, Santos RM, Peter RH, Puma JA, Schwab SJ, Phillips HR, Stack RS, Conlon PJ. Progression of renal artery stenosis in patients undergoing cardiac catheterization. American Heart Journal 1998; 136(5):913-18.

Cohen MG, Pascua JA, Garcia-Ben M, Rojas-Matas CA, Gabay JM, Berrocal DH, Tan WA, Stouffer GA, Montoya M, Fernandez AD, Halac ME, Grinfeld LR. A simple prediction rule for significant renal artery stenosis in patients undergoing cardiac catheterization. American Heart Journal 2005; 150(6):1204-11.

Olechnowicz-Tietz S, Gluba A, Paradowska A, Banach M, Rysz J. The risk of atherosclerosis in patients with chronic kidney disease. International urology and nephrology 2013; 45(6):1605-12.

Hricik DE, Browning PJ, Kopelman R, Goorno WE, Madias NE, Dzau VJ. Captopril-induced functional renal insufficiency in patients with bilateral renal-artery stenosis or renal-artery stenosis in a soliatry kidney. New England Journal of Medicine 1983; 308:373-76.

Gross CM, Kraemer J, Waigand J, et al. Ostial renal artery stent placement for atherosclerotic renal artery stenosis in patients with coronary artery disease. Cathet Cardiovasc Diagn 1998; 45:1

MacDowall P, Kalra PA, O

Valentine RJ, Clagett GP, Miller GL, Myers SI, Martin JD, Chervu A. The coronary risk of unsuspected renal artery stenosis. J Vasc Surg 1993; 18:433

Stack R: Renal artery stenosis-under-diagnosed and undertreated in the cardiac patient? J Invasive Cardiol 1999; 11: 103

Zierler RE, Bergelin RO, Isaacson JA, et al: Natural history of atherosclerotic renal artery stenosis: a prospective study with duplex ultrasonography. J Vasc Surg 1994; 19:250

Harden PN, MacLeod MJ, Rodger RSC, et al. Effect of renal-artery stenting on progression of renovascular renal failure. Lancet 1997; 349: 1133

Downloads

Published

2015-08-30

Issue

Section

Original Research Articles

How to Cite

Incidence and associates of renal artery stenosis in patients undergoing peripheral and coronary angiography. (2015). International Journal of Biomedical and Advance Research, 6(8), 558-563. https://doi.org/10.7439/ijbar.v6i8.2280