Endovascular brachytherapy for treatment of bilateral renal artery in-stent restenosis
Corresponding Author
George S. Chrysant MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, 660 South Euclid Avenue, Box 8225, St. Louis, MO 63110Search for more papers by this authorJeffrey A. Goldstein MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorIvan P. Casserly MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorJason H. Rogers MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorHoward I. Kurz MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorWade L. Thorstad MD
Department of Radiation Oncology, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorJasvindar Singh MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorJohn M. Lasala MD, PhD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorCorresponding Author
George S. Chrysant MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, 660 South Euclid Avenue, Box 8225, St. Louis, MO 63110Search for more papers by this authorJeffrey A. Goldstein MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorIvan P. Casserly MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorJason H. Rogers MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorHoward I. Kurz MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorWade L. Thorstad MD
Department of Radiation Oncology, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorJasvindar Singh MD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorJohn M. Lasala MD, PhD
Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri
Search for more papers by this authorAbstract
Percutaneous transluminal angioplasty of renal artery stenosis is an attractive alternative to surgical therapy. However, even with endovascular stenting, the overall rate of restenosis is 21%. While brachytherapy for coronary in-stent restenosis has proven efficacy, its use for renal artery in-stent restenosis has not been formally evaluated. We report a case of bilateral in-stent renal artery restenosis treated with endovascular brachytherapy. Cathet Cardiovasc Intervent 2003;59:251–254. © 2003 Wiley-Liss, Inc.
REFERENCES
- 1 Chrysant GS, Oparil S. Treatment of hypertension in the patient with cardiovascular disease. In: EM Antman, editor. Cardiovascular therapeutics: a companion to braunwald's heart disease. Philadelphia: W.B. Saunders; 2001. p 768–795.
- 2 Spitalewitz S, Reiser IW. Renovascular hypertension: diagnosis and treatment. In: S Oparil, MA Weber, editors. Hypertension: a companion to Brenner and Rector's the kidney. Philadelphia: W.B. Saunders; 2000. p 662–674.
- 3 Plouin PF, Rossignol P, Bobrie G. Atherosclerotic renal artery stenosis: to treat conservatively, to dilate, to stent, or to operate? J Am Soc Nephrol 2001; 12: 2190–2196.
- 4 Ramsay LE, Waller PC. Blood pressure response to percutaneous transluminal angioplasty for renovascular hypertension: an overview of published series. Br Med J 1990; 300: 569–572.
- 5 Weibull H, Bergqvist D, Bergentz SE, Jonsson K, Hulthen L, Manhem P. Percutaneous transluminal renal angioplasty versus surgical reconstruction of atherosclerotic renal artery stenosis: a prospective randomized study. J Vasc Surg 1993; 18: 841–850.
- 6 Rimmer JM, Gennari FJ. Atherosclerotic renovascular disease and progressive renal failure. Ann Intern Med 1993; 118: 712–719.
- 7 Bloch MJ, Trost DW, Pickering TG, Sos TA, August P. Prevention of recurrent pulmonary edema in patients with bilateral renovascular disease through renal artery stent placement. Am J Hypertens 1999; 12: 1–7.
- 8 White CJ. Non-surgical treatment of patients with peripheral vascular disease. Br Med Bull 2001; 59: 173–192.
- 9 Klow NE, Paulsen D, Vatne K, Rokstad B, Lien B, Fauchald P. Percutaneous transluminal renal artery angioplasty using the coaxial technique: ten years of experience from 591 procedures in 419 patients. Acta Radiol 1998; 39: 594–603.
- 10 Dorros G, Jaff M, Mathiak L, et al. Four-year follow-up of Palmaz-Schatz stent revascularization as treatment for atherosclerotic renal artery stenosis. Circulation 1998; 98: 642–647.
- 11 Lederman RJ, Mendelsohn FO, Santos R, Phillips HR, Stack RS, Crowley JJ. Primary renal artery stenting: characteristics and outcomes after 363 procedures. Am Heart J 2001; 142: 314–323.
- 12 Williams DO. Intracoronary brachytherapy: past, present, and future. Circulation 2002; 105: 2699–2700.
- 13 Anonymous. Use of gamma radiation for treatment of renal artery in-stent restenosis. Cardiovasc Radiat Med 2001; 2: 197–198.
- 14 Stuckle CA, Laufer U, Kirchner J, Muller H, Adams S, Adamietz IA, Liermann DD. Successful treatment of intimal hyperplasia in renal arteries by endovascular brachytherapy. Cardiovasc Radiat Med 2001; 2: 114–118.