Relationship between distribution of coronary artery lesions and renal artery stenosis in patients undergoing simultaneous coronary and renal angiography

Salehi, N. and Firouzi, A. and Gholoobi, A. and Shakerian, F. and Sanati, H. R. and Ahmadabadi, M. N. and Moradi, M. (2011) Relationship between distribution of coronary artery lesions and renal artery stenosis in patients undergoing simultaneous coronary and renal angiography. Clinical Medicine Insights: Cardiology, 5. pp. 35-40.

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Abstract

Aims: We evaluated the relationship between distribution of lesions in coronary tree and atherosclerotic renal artery stenosis (RAS). Methods and results: Data collected prospectively on 500 consecutive patients who underwent simultaneous renal angiography following coronary angiography. Overall prevalence of RAS was 26.2 (131 patients). Significant (50 luminal diameter stenosis) RAS was present in 70 patients (14). In 346 individuals of the study population, significant CAD was present (69.2). Significant RAS was more common (18.4) in this group. Older age, higher intra-arterial systolic blood pressure (SBP) and pulse pressure (PP) at the time of catheterization, and 3-vessel coronary artery disease (CAD) were associated with significant RAS in univariate analysis. Relationship between involved locations of coronary arteries Left anterior descending (LAD), left circumflex (LCX), Right Coronary Artery (RCA), and their ostio-proximal portions and RAS were significant except for left main (LM) disease. In multivariate model, age more than 62 years, SBP greater than 150 mmHg, PP in excess of 60 mmHg and RCA involvement were independent predictors of significant RAS. Conclusion: Simultaneous renal angiography following coronary angiography might be justified in patients with significant RCA disease who are older with increased levels of intra-arterial SBP and PP. © the author(s), publisher and licensee Libertas Academica Ltd.

Item Type: Article
Additional Information: Cited By :7 Export Date: 16 February 2020 Correspondence Address: Shakerian, F.; Department of Interventional Cardiology, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran; email: farshadshakerian@gmail.com
Uncontrolled Keywords: Coronary angiography Coronary artery disease Renal artery obstruction adult age angiocardiography article controlled study coronary artery circumflex branch disease association female human kidney angiography kidney artery stenosis kidney function left anterior descending coronary artery major clinical study male prospective study pulse pressure right coronary artery risk factor systolic blood pressure
Subjects: WG Cardiovascular System
WJ Urogenital System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 03 May 2020 04:05
Last Modified: 03 May 2020 04:05
URI: http://eprints.mums.ac.ir/id/eprint/17111

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