Angioplasty for Renal Artery Fibromuscular Dysplasia in Older Hypertensive Patients

M. R. Thatipelli, E. A. Huettl, M. A. Mckusick, S. Misra

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Aim: To describe the outcomes of treating patients with angioplasty who are older than 40 years with symptomatic/labile/refractory hypertension (HTN). Methods: Between1999 and 2005, 28 patients underwent angioplasty for renal fibromuscular dysplasia (FMD). Patients were excluded if they had concomitant atherosclerotic renal artery stenosis (n = 4) or less than 1 month follow-up (n = 8). Results: The study group included 16 Caucasians (21 procedures; mean age 65.5 10.8 years; females = 88%). The cardiovascular risk factors include HTN (n = 13), smoking (n = 1), diabetes (n = 2), dyslipidemia (n = 8). The HTN was characterized as refractory (n = 15, 12 were symptomatic) and new-onset in 1 patient. The technical success rate was 100%. Over a median period of 12.8 months (range: 1.0-85.8), 18 (95%) procedures ‘‘failed,’’ of which 8 (42%) within 1 month and the rest in 1 year. Conclusions: Angioplasty in symptomatic renal FMD in patients >40 years is associated with poor outcomes possibly due to early restenosis.

Original languageEnglish (US)
Pages (from-to)714-718
Number of pages5
JournalAngiology
Volume60
Issue number6
DOIs
StatePublished - Dec 2009

Keywords

  • angioplasty
  • fibromuscular dysplasia
  • hypertension
  • renal artery stenosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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