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Nierenarterienstenose

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Evidenzbasierte Gefäßchirurgie

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Zusammenfassung

Für die Behandlung einer Nierenarterienstenose (NASt) kommen die medikamentöse, endovaskuläre und chirurgische Therapie in Betracht, wobei die interventionellen Maßnahmen zunehmend kritischer indiziert werden. So verbessern PTA ± Stent bei Patienten mit atherosklerotischer NASt im Vergleich zur medikamentösen Behandlung nicht das Outcome der Patienten. Die Indikationen für die offene Chirurgie beschränken sich auf komplexe Nierenarterienläsionen sowie simultane renale und aortoiliakale Rekonstruktionen.

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Literatur

  • Anderson JL, Halperin JL, Albert NM et al (2013) Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 127: 1425–1443

    Article  PubMed  Google Scholar 

  • Balzer KM, Neuschäfer S, Sagban TA, Grotemeyer D, Pfeiffer T, Rump LC, Sandmann W (2012) Renal artery revascularization after unsuccessful percutaneous therapy: a single centre experience. Langenbecks Arch Surg 397: 111–115

    Article  PubMed  Google Scholar 

  • Bax L, Woittiez AJ, Kouwenberg HJ et al (2009) Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial. Ann Intern Med 150: 840–848

    Article  PubMed  Google Scholar 

  • Chrysant GS, Bates MC, Sullivan TM, Bachinsky WB, Popma JJ, Peng L, Omran HL, Jaff MR; HERCULES Investigators (2014) Proper patient selection yields significant and sustained reduction in systolic blood pressure following renal artery stenting in patients with uncontrolled hypertension: long-term results from the HERCULES trial. J Clin Hypertens (Greenwich) 16: 497–503

    Google Scholar 

  • Cooper CJ, Murphy TP, Cutlip DE et al; CORAL Investigators (2014) Stenting and medical therapy for atherosclerotic renal-artery stenosis. N Engl J Med 370: 13–22

    Google Scholar 

  • Davies MG, Saad WE, Bismuth J, Naoum JJ, Peden EK, Lumsden AB (2010) Renal parenchymal preservation after percutaneous renal angioplasty and stenting. J Vasc Surg 51: 1222–1229

    Article  PubMed  Google Scholar 

  • Deutsche Röntgengesellschaft (DGR) und Deutsche Gesellschaft für Interventionelle Radiologie (DeGIR) (2009) Radiologische Diagnostik und perkutane endovaskuläre Therapie der Nierenarterienstenose. AWMF-Leitlinien-Register Nr. 039/092

    Google Scholar 

  • Feng R, Wei X, Zhao Z, Bao J, Feng X, Qu L, Lu Q, Jing Z (2011) Aortorenal bypass with autologous saphenous vein in Takayasu arteritis-induced renal artery stenosis. Eur J Vasc Endovasc Surg 42: 47–53

    Article  CAS  PubMed  Google Scholar 

  • Ham SW, Weaver FA (2014) Ex vivo renal artery reconstruction for complex renal artery disease. J Vasc Surg 60: 143–150

    Article  PubMed  Google Scholar 

  • Jenks S, Yeoh SE, Conway BR (2014) Balloon angioplasty, with and without stenting, versus medical therapy for hypertensive patients with renal artery stenosis. Cochrane Database Syst Rev: CD002944

    Google Scholar 

  • Liang P, Hurks R, Bensley RP, Hamdan A, Wyers M, Chaikof E, Schermerhorn ML (2013) The rise and fall of renal artery angioplasty and stenting in the United States, 1988–2009. J Vasc Surg 58: 1331–1338

    Article  PubMed  Google Scholar 

  • Marcantoni C, Zanoli L, Rastelli S, Tripepi G, Matalone M, Mangiafico S, Capodanno D, Scandura S, Di Landro D, Tamburino C, Zoccali C, Castellino P (2012) Effect of renal artery stenting on left ventricular mass: a randomized clinical trial. Am J Kidney Dis 60: 39–46

    Article  PubMed  Google Scholar 

  • Mohan IV, Bourke V (2015) The management of renal artery stenosis: an alternative interpretation of ASTRAL and CORAL. Eur J Vasc Endovasc Surg 49: 465–473

    Google Scholar 

  • Mousa AY, Campbell JE, Stone PA, Broce M, Bates MC, AbuRahma AF (2012) Short- and long-term outcomes of percutaneous transluminal angioplasty/stenting of renal fibromuscular dysplasia over a ten-year period. J Vasc Surg 55: 421–427

    Article  PubMed  Google Scholar 

  • Olin JW, Gornik HL, Bacharach JM et al (2014) Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association. Circulation 129: 1048–1078

    Article  PubMed  Google Scholar 

  • Riaz IB, Husnain M, Riaz H, Asawaeer M, Bilal J, Pandit A, Shetty R, Lee KS (2014) Meta-analysis of revascularization versus medical therapy for atherosclerotic renal artery stenosis. Am J Cardiol 114: 1116–1123

    Article  PubMed  Google Scholar 

  • Shetty R, Biondi-Zoccai GG, Abbate A, Amin MS, Jovin IS (2011) Percutaneous renal artery intervention versus medical therapy in patients with renal artery stenosis: a meta-analysis. EuroIntervention 7: 844–851

    Article  PubMed  Google Scholar 

  • Simone TA, Brooke BS, Goodney PP, Walsh DB, Stone DH, Powell RJ, Cronenwett JL, Nolan BW (2013) Clinical effectiveness of secondary interventions for restenosis after renal artery stenting. J Vasc Surg 58: 687–694

    Article  PubMed Central  PubMed  Google Scholar 

  • Tendera M, Aboyans V, Bartelink ML et al; European Stroke Organisation; ESC Committee for Practice Guidelines (2011) ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J 32: 2851–2906

    Google Scholar 

  • Trinquart L, Mounier-Vehier C, Sapoval M, Gagnon N, Plouin PF (2010) Efficacy of revascularization for renal artery stenosis caused by fibromuscular dysplasia: a systematic review and meta-analysis. Hypertension 56: 525–532

    Article  CAS  PubMed  Google Scholar 

  • Wenk HH (2011) Nierenarterienchirurgie: Was bleibt für den Gefäßchirurgen übrig? Zentralbl Chir 136: 422–425

    Article  CAS  PubMed  Google Scholar 

  • Wheatley K, Ives N, Gray R, Kalra PA, Moss JG, Baigent C, Carr S, Chalmers N, Eadington D, Hamilton G, Lipkin G, Nicholson A, Scoble J; ASTRAL Investigators (2009) Revascularization versus medical therapy for renal-artery stenosis. N Engl J Med 361: 1953–1962

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    E. Sebastian Debus

  2. ehem. Wissenschaftlich Medizinischer Direktor Kreiskliniken Altötting-Burghausen, Burghausen, Deutschland

    Reinhart T. Grundmann

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  1. E. Sebastian Debus
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  2. Reinhart T. Grundmann
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Correspondence to E. Sebastian Debus .

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© 2015 Springer-Verlag Berlin Heidelberg

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Debus, E., Grundmann, R. (2015). Nierenarterienstenose. In: Evidenzbasierte Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47167-8_5

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  • DOI: https://doi.org/10.1007/978-3-662-47167-8_5

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47166-1

  • Online ISBN: 978-3-662-47167-8

  • eBook Packages: Medicine (German Language)

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