Atherosclerotic renal artery stenosis in the post-CORAL era part 2: new directions in Transcatheter Nephron Salvage following flawed revascularization trials

被引:14
作者
Sag, Alan Alper [1 ]
Sos, Thomas A. [2 ]
Benli, Caghan [3 ]
Sal, Oguzhan [3 ]
Rossignol, Patrick [4 ,5 ,6 ,7 ]
Ortiz, Alberto [8 ,9 ,10 ]
Solak, Yalcin [11 ]
Kanbay, Mehmet [12 ]
机构
[1] Koc Univ, Sch Med, Dept Radiol, Div Intervent Radiol, Istanbul, Turkey
[2] New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Radiol, Div Intervent Radiol, New York, NY USA
[3] Koc Univ, Sch Med, Istanbul, Turkey
[4] INSERM, Ctr Invest Clin Plurithemat 1433, U1116, Nancy, France
[5] CHU Nancy, Nancy, France
[6] Univ Lorraine, Nancy, France
[7] F CRININI CRCT Network, Nancy, France
[8] Univ Autonoma Madrid, Sch Med, FJD, IIS, Madrid, Spain
[9] Fdn Renal Inigo Alvarez de Toledo, IRSIN, Madrid, Spain
[10] REDINREN, Madrid, Spain
[11] Sakarya Training & Res Hosp, Dept Med, Div Nephrol, Sakarya, Turkey
[12] Koc Univ, Sch Med, Dept Med, Div Nephrol, Istanbul, Turkey
关键词
Angioplasty; Atherosclerosis; Hypertension; Stents; RENOVASCULAR HYPERTENSION; RESISTIVE INDEX; DIABETES-MELLITUS; ANGIOPLASTY; DISEASE; MANAGEMENT; STENT; INTERVENTIONS; PROTEINURIA; PROGRESSION;
D O I
10.1016/j.jash.2016.02.005
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Unlike endovascular therapeutic studies for atherosclerosis in many other vascular beds, major trials regarding endovascular renovascular revascularization have resulted in a stagnating equipoise. However, every major trial completed for this topic thus far has suffered from major methodological flaws that limit the validity and external generalizability of their results. Furthermore, certain patient populations who are known to benefit from renovascular revascularization may never be studied because they cannot be ethically withheld from life-saving treatment. Forthcoming percutaneous techniques may one day complement angioplasty and stenting in a burgeoning era of cellular modulation and endovascular-directed renal regeneration. (C) 2016 American Society of Hypertension. All rights reserved.
引用
收藏
页码:368 / 377
页数:10
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