Zheng Bin ,Yan HongbingBeijing Anzhen Hospital, Capital .pptVIP

Safety Efficiency of Coronary DES for Atherosclerotic Stenosis in Small Renal Artery: Six Months Results Introduction Introduction Introduction Introduction Introduction The aim of our study is to investigate the safety and efficiency of coronary DES for atherosclerotic stenosis in small renal artery. Methods Twenty-five patients in 4 hospitals from November 2004 to November 2008 Ostial or proximal atherosclerotic renal artery stenosis dia- gnosed by angiography; the renal artery diameter 5mm and stenosis =70% Three kinds of home-made DES (Firebird stent, Partner stent and Excel stent) All patients were scheduled for clinical follow-up (GFR and MACE) at 1th and 6th month. Follow-up angiography and duplex ultrasound were scheduled at 6 months after stent placement Results Results Results Results Results Renal artery angiography Restenosis was defined as the development of a 50% or greater diameter stenosis; There was no restenosis case 6 months after the renal artery intervention by angiography or duplex ultra-sound . Minimum lumen diameter was 4.31±0.88mm immediately after procedure. Thirteen patients underwent repeat angiography 6 months later, and minimum lumen diameter was 3.99±0.91 mm in the stent without restenosis≥50%. Late loss was 0.32±0.08 mm and the diameter stenosis was 8.5±1.3％. Results Renal artery duplex ultrasound Renal artery duplex ultrasound was followed up at 6 months in 15 patients. No obvious intimal proliferation was observed in DES which was similar as the outcome from angiography. Complications There was no MACE (e.g. death, stent thrombosis and acute renal insufficiency) at 6 months after the procedure. Results Disccusion No restenosis case after the renal artery intervention. Six month late loss measured by QCA was 8.5±1.3% of acute gain by angiography. Renal artery duplex ultrasound follow-up was performed in 15 patients, and there was no obvious restenosis as the