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https://doi.org/10.20471/acc.2019.58.02.03

Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality

Dražen Perkov   ORCID icon orcid.org/0000-0001-5398-059X ; Department of Diagnostic and Interventional Radiology, Zagreb University Hospital Centre, University of Zagreb School of Medicine, Zagreb, Croatia
Vedran Premužić ; Department of Nephrology, Hypertension, Dialysis and Transplantation, Zagreb University Hospital Centre, University of Zagreb School of Medicine, Zagreb, Croatia
Ranko Smiljanić ; Department of Diagnostic and Interventional Radiology, Zagreb University Hospital Centre, University of Zagreb School of Medicine, Zagreb, Croatia
Ljiljana Fodor ; Department of Nephrology and Dialysis, Sestre milosrdnice University Hospital Centre, University of Zagreb School of Medicine, Zagreb, Croatia
Savko Dobrota ; Department of Diagnostic and Interventional Radiology, Zagreb University Hospital Centre, University of Zagreb School of Medicine, Zagreb, Croatia
Bojan Jelaković ; Department of Nephrology, Hypertension, Dialysis and Transplantation, Zagreb University Hospital Centre, University of Zagreb School of Medicine, Zagreb, Croatia

Puni tekst: engleski, pdf (233 KB) str. 213-219 preuzimanja: 94* citiraj
APA 6th Edition
Perkov, D., Premužić, V., Smiljanić, R., Fodor, Lj., Dobrota, S. i Jelaković, B. (2019). Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality. Acta clinica Croatica, 58 (2.), 213-219. https://doi.org/10.20471/acc.2019.58.02.03
MLA 8th Edition
Perkov, Dražen, et al. "Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality." Acta clinica Croatica, vol. 58, br. 2., 2019, str. 213-219. https://doi.org/10.20471/acc.2019.58.02.03. Citirano 20.10.2020.
Chicago 17th Edition
Perkov, Dražen, Vedran Premužić, Ranko Smiljanić, Ljiljana Fodor, Savko Dobrota i Bojan Jelaković. "Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality." Acta clinica Croatica 58, br. 2. (2019): 213-219. https://doi.org/10.20471/acc.2019.58.02.03
Harvard
Perkov, D., et al. (2019). 'Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality', Acta clinica Croatica, 58(2.), str. 213-219. https://doi.org/10.20471/acc.2019.58.02.03
Vancouver
Perkov D, Premužić V, Smiljanić R, Fodor Lj, Dobrota S, Jelaković B. Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality. Acta clinica Croatica [Internet]. 2019 [pristupljeno 20.10.2020.];58(2.):213-219. https://doi.org/10.20471/acc.2019.58.02.03
IEEE
D. Perkov, V. Premužić, R. Smiljanić, Lj. Fodor, S. Dobrota i B. Jelaković, "Ostial versus Truncal Renal Artery Stenosis: Predictor of Large Artery Atherosclerosis Severity and Higher Mortality", Acta clinica Croatica, vol.58, br. 2., str. 213-219, 2019. [Online]. https://doi.org/10.20471/acc.2019.58.02.03

Sažetak
The aim of this study was to determine arterial stiffness and the effect of stenting in patients with renal artery stenosis. We hypothesized that ostial renal artery stenosis is not only a marker of more pronounced atherosclerosis of large arteries, but is also a predictor of higher cardiovascular mortality. We enrolled 33 patients with renal artery stenosis refractory to pharmacological treatment and divided them according to the renal artery stenosis location, ostial and truncal (23 vs.
10 patients). We analyzed patient survival at five-year follow up. After the intervention and at sixmonth follow up, there was a significant decrease in blood pressure values, as well as in pulse wave velocity (PWV) and augmentation index. PWV was significantly lower in patients with truncal renal artery stenosis and these patients were significantly younger. Twelve patients with ostial and one patient with truncal renal artery stenosis (52% vs. 10%, p<0.001) died from cardiovascular events. Our study is the first to confirm the predictive role of PWV and arterial stiffness in patients with renal artery stenosis, especially ostial one, and to emphasize its ability of detecting future higher incidence of
cardiovascular events.

Ključne riječi
Renal artery obstruction; Atherosclerosis; Pulse wave analysis; Vascular stiffness; Mortality; Survival

Hrčak ID: 224349

URI
https://hrcak.srce.hr/224349

[hrvatski]

Posjeta: 278 *