Details

Autor(en) / Beteiligte

• Julien, Jacques
• Jeunemaitre, Xavier
• Raynaud, Alain
• Azizi, Michel
• Pagny, Jean-Yves
• Plouin, Pierre-François
• Corvol, Pierre

Titel

Influence of age on the outcome of percutaneous angioplasty in atheromatous renovascular disease

Ist Teil von

• Journal of hypertension, 1989-12, Vol.7 Suppl 6 (6), p.S188-189

Ort / Verlag

Hagerstown, MD: Lippincott-Raven Publishers

Erscheinungsjahr

1989

Quelle

MEDLINE

Beschreibungen/Notizen

• We compared the efficacy and safety of percutaneous transluminal renal angioplasty for the treatment of renovascular disease in 66 patients. Thirty-four were aged less than 60 years, and 32 more than 60 years. The younger patients had a shorter known duration of hypertension and higher levels of diastolic pressure (6.4 ± 9 years and 109 ± 15 mmHg) than the older patients (12.8 ± 8 years and 101 ±11 mmHg, P > 0.01 for both comparisons). They also had higher creatinine clearance rates (78 versus 46ml/min, P > 0.01) and less severe renal artery disease. A total of 70 percutaneous transluminal renal angioplasties were performed in 70 arteries with a technical success rate of 100% in the younger group versus 67% in the older group (P > 0.01); complications occurred more frequently in the older group. Our data indicate that, when technically successful, percutaneous transluminal renal angioplasty improves blood pressure to a similar extent in both younger and older patients. However, in patients over 60 years, the safety of the procedure is limited by more severe age-associated atheroma of renal and extrarenal arteries.