ArticleArchives of medical science : AMS2026
Preoperative clinical and renal ultrasonography variables associated with systolic and diastolic blood pressure reduction after renal artery stenting.
Article in Archives of medical science : AMS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: The response to stent-assisted angioplasty (PTA) in hypertensive patients with atherosclerotic renal artery stenosis (ARAS) is unpredictable. Therefore, the present study aimed to identify preoperative clinical and renal ultrasonography variables associated with systolic (SBP) and diastolic blood pressure (DBP) reduction. Material and methods: Preoperative clinical assessment and renal ultrasonography were performed in 202 patients who underwent PTA for ARAS (2003-2018). Patients were categorized as responders if a decrease of SBP of at least 20 mm Hg or DBP of 5 mm Hg was achieved. Logistic regression models were used to evaluate the associations of clinical and ultrasonographic variables with treatment response, and their relative contributions were assessed. Results: Logistic regression analysis showed that preoperative SBP > 145 mm Hg (OR = 20.0 [95% CI: 8.67-46.2], Conclusions: This study identified clinical and ultrasonographic characteristics of patients who are likely to respond to PTA for ARAS. The RAR and contralateral kidney size may improve the identification of patients likely to respond to PTA.
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