PMID- 22455866
OWN - NLM
STAT- MEDLINE
DCOM- 20121106
LR  - 20181201
IS  - 1879-0844 (Electronic)
IS  - 1388-9842 (Linking)
VI  - 14
IP  - 7
DP  - 2012 Jul
TI  - The efficacy of renal angioplasty in patients with renal artery stenosis and 
      flash oedema or congestive heart failure: a systematic review.
PG  - 773-81
LID - 10.1093/eurjhf/hfs037 [doi]
AB  - AIMS: Recent randomized controlled trials have reported that angioplasty does not 
      have a beneficial effect compared with pharmacological treatment on blood 
      pressure and renal function in patients with atherosclerotic renal artery 
      stenosis (RAS). We aimed to explore systematically the evidence that angioplasty 
      is effective in subgroups of patients with RAS and either flash pulmonary oedema 
      or congestive heart failure (CHF) and renal insufficiency. METHODS AND RESULTS: 
      We searched online databases (PubMed and ClinicalTrials.gov) and references of 
      included articles. We included 25 articles describing 79 patients with RAS and 
      flash oedema and seven articles describing 94 patients with RAS, CHF, and renal 
      insufficiency. According to the Grading of Recommendations Assessment, 
      Development, and Evaluation (GRADE) system, the quality of the evidence was, at 
      best, low. Seventy-six per cent of patients with flash oedema did not have any 
      recurrence after angioplasty. Recurrence of symptoms was associated with either 
      restenosis of the renal artery or cardiac arrhythmias in all patients. In the 
      patients with CHF and renal insufficiency, the severity of heart failure 
      symptoms, expressed as New York Heart Association (NYHA) functional class, 
      improved after angioplasty in all included articles. CONCLUSION: The evidence 
      included in this systematic review justifies a weak recommendation in favour of 
      angioplasty in patients with atherosclerotic RAS and either flash pulmonary 
      oedema or CHF and renal insufficiency.
FAU - van den Berg, Danielle T N A
AU  - van den Berg DT
AD  - Department of Internal Medicine, Radboud University Nijmegen Medical Centre,PO 
      Box 9101, 6500 HB, Nijmegen, The Netherlands.
FAU - Deinum, Jaap
AU  - Deinum J
FAU - Postma, Cornelis T
AU  - Postma CT
FAU - van der Wilt, Geert Jan
AU  - van der Wilt GJ
FAU - Riksen, Niels P
AU  - Riksen NP
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20120328
PL  - England
TA  - Eur J Heart Fail
JT  - European journal of heart failure
JID - 100887595
RN  - AYI8EX34EU (Creatinine)
SB  - IM
CIN - Eur J Heart Fail. 2012 Jul;14(7):716-7. PMID: 22685269
MH  - *Angioplasty
MH  - Blood Pressure
MH  - Creatinine/blood
MH  - Heart Failure/*pathology/therapy
MH  - Humans
MH  - Pulmonary Edema/pathology/*therapy
MH  - Renal Artery Obstruction/pathology/*therapy
MH  - Renal Insufficiency/pathology
EDAT- 2012/03/30 06:00
MHDA- 2012/11/07 06:00
CRDT- 2012/03/30 06:00
PHST- 2012/03/30 06:00 [entrez]
PHST- 2012/03/30 06:00 [pubmed]
PHST- 2012/11/07 06:00 [medline]
AID - hfs037 [pii]
AID - 10.1093/eurjhf/hfs037 [doi]
PST - ppublish
SO  - Eur J Heart Fail. 2012 Jul;14(7):773-81. doi: 10.1093/eurjhf/hfs037. Epub 2012 
      Mar 28.