Balloon Dilatation for Renal Artery Stenosis Causing Hypertension: Criteria, Concerns, and Cautions
Authors: CLARENCE E. GRIM, HEUN Y. YUNE, MYRON H. WEINBERGER, EUGENE C. KLATTE, MICHAEL P. RYAN
Journal: Annals of Internal Medicine (1980)

Editorials1 January 1980Balloon Dilatation for Renal Artery Stenosis Causing Hypertension: Criteria, Concerns, and CautionsCLARENCE E. GRIM, M.D., HEUN Y. YUNE, M.D., MYRON H. WEINBERGER, M.D., EUGENE C. KLATTE, M.D., MICHAEL P. RYAN, M.D.CLARENCE E. GRIM, M.D.Search for more papers by this author, HEUN Y. YUNE, M.D.Search for more papers by this author, MYRON H. WEINBERGER, M.D.Search for more papers by this author, EUGENE C. KLATTE, M.D.Search for more papers by this author, MICHAEL P. RYAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-92-1-117 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPercutaneous transluminal dilatation of the renal artery using a balloon-tipped catheter may be the most important advance in the management of renal vascular hypertension since the advent of renin measurement. A report in this issue, by the developers of percutaneous transluminal dilatation (1) documents in seven of eight patients the technical feasibility of treating renal vascular hypertension using this technique. Although the number of patients is small and the duration of follow-up short, the study is nonetheless important and its results encouraging. The authors are careful, however, to acknowledge that long-term follow-up data from a randomized comparison with reconstructive vascular...References1. KUHLMANN U, VETTER W, FURRER J, LUTOLF U, SIEGENTHALER W, and GRUNTZIG A. Renovascular hypertension: treatment by cutaneous transluminal dilatation. Ann Intern Med. 1980;92:1-6. LinkGoogle Scholar2. EYLER W, CLARK M, GARMAN J, RIAN R, and MENNINGER D. Angiography of the renal areas including a comparative study of renal arterial stenosis with and without hypertension. Radiology. 1962;78:8790-891. CrossrefGoogle Scholar3. HELMER O and JUDSON W. Presence of vasoconstrictor and vasodepressor activity in renal vein plasma of patients with arterial hypertension. In: Hypertension VIII: proceedings of the Council for High Blood Pressure Research. New York: American Heart Association; 1959:38-56. Google Scholar4. COHEN E, ROVNER D, and CONN J. Postural augmentation of plasma renin activity: importance in diagnosis of renovascular hypertension. JAMA. 1966;197:973-8. CrossrefMedlineGoogle Scholar5. WINER B, LUBBE W, SIMON M, and WILLIAMS J. Renin in the diagnosis of renovascular hypertension: activity in renal and peripheral vein plasma. JAMA. 1967;202:139-46. CrossrefGoogle Scholar6. BATH N, GUNNELLS J, and ROBINSON R. Plasma renin activity in renovascular hypertension. Am J Med. 1968;45:381-90. CrossrefMedlineGoogle Scholar7. POUTASSE E, MARKS L, WISOFF C, VINSON A, and WAN A. Renal vein renin determinations in hypertension: falsely negative tests. J Urol. 1973;110:371-4. CrossrefMedlineGoogle Scholar8. MARKS L, MAXWELL M, VARADY P, LUPU A, and KAUFMAN J. Renovascular hypertensions: does the renal vein renin ratio predict operative results. J Urol. 1976;115:365-8. CrossrefMedlineGoogle Scholar9. MICHELAKIS A, WOODS J, LIDDLE G, and KLATTE E. A predictable error in use of renal vein renin in diagnosing hypertension. Arch Intern Med. 1969;123:359-62. CrossrefMedlineGoogle Scholar10. STRONG C, HUNT J, SHEPS S, TUCKER R, and BERNATZ P. Renal venous renin activity: enhancement of sensitivity of lateralization by sodium depletion. Am J Cardiol. 1971;27:602-11. CrossrefMedlineGoogle Scholar11. MICHELAKIS A and SIMMONS J. Effect of posture on renal vein activity in hypertension. JAMA. 1969;208:659-62. CrossrefMedlineGoogle Scholar12. MELMAN A, DONOHUE J, WEINBERGER M, and GRIM C. Improved diagnostic accuracy of renal venous ratios with stimulation of renin release. J Urol. 1977;117:145-9. CrossrefMedlineGoogle Scholar13. FOSTER J, DEAN R, and PINKERTON J. Ten years experience with the surgical management of renovascular hypertension. Ann Surg. 1973;177:755-66. CrossrefMedlineGoogle Scholar14. HUNT J and STRONG C. Renovascular hypertension: mechanisms, natural history and management. Am J Cardiol. 1973;32:562-74. CrossrefMedlineGoogle Scholar15. FOSTER J, MAXWELL M, and FRANKLIN S. Renovascular occlusive disease: results of operative management. JAMA. 1975;231:1043-8. CrossrefMedlineGoogle Scholar16. SHAPIRO A, MCDONALD R, and SCHEIB E. Renal arterial stenosis and hypertension II. Current criteria for surgery. Am J Cardiol. 1976;37:1065-8. CrossrefMedlineGoogle Scholar17. STANLY J and FRY W. Surgical treatment of renovascular hypertension. Arch Surg. 1977;112:1291-7. CrossrefMedlineGoogle Scholar18. LANKFORD N, DONOHUE J, GRIM C, and WEINBERGER M. Results of surgical treatment of renal vascular hypertension. J Urol. 1979;122:439-41. CrossrefMedlineGoogle Scholar19. SPODICK D. Percutaneous transluminal coronary angioplasty: opportunity fleeting. JAMA. 1979;242:1658-9. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: CLARENCE E. GRIM, M.D.; HEUN Y. YUNE, M.D.; MYRON H. WEINBERGER, M.D.; EUGENE C. KLATTE, M.D.; MICHAEL P. RYAN, M.D.Affiliations: Indiana University Medical Center Specialized Center for Research—Hypertension Indianapolis, Indiana PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySuppression of Renal vein Renin Profiles by Mannitol Prophylaxis: Implications in the Evaluation of Renovascular HypertensionHas Transluminal Angioplasty Proved to be Efficacious in Treatment of Atherosclerotic Renal Artery Stenosis?Surgery or Angioplasty for Cost-effective Renal Revascularization?Hypertension in Renovascular DiseaseTreatment of Neurofibromatosis Associated Renal Artery Stenosis with Hypertension by Percutaneous Transluminal AngioplastyRole of Balloon Dilatation in the Treatment of Renovascular HypertensionPercutaneous Transluminal DilatationEnhancement of renal venous renin ratios by intravenous hydralazine in renovascular hypertensionPercutaneous Transluminal Renal Angioplasty in Renovascular Hypertension Due to Atheroma or Fibromuscular DysplasiaHypertension in the Elderly: A Pathophysiologic Approach to Therapy*Percutaneous Angioplasty in the Management of Renovascular HypertensionL'Angioplastica Transluminale Percutanea Dell'Arteria Renale Nel Trattamento Della Ipertensione RenovascolarePercutaneous Transluminal Dilatation: The Treatment of Choice for Renal Artery Stenosis Causing HypertensionPercutaneous Transluminal Dilatation in the Treatment of Renal Vascular HypertensionCLARENCE E. GRIM, M.D., FRIEDRICH C. LUFT, M.D., HEUN Y. YUNE, M.D., EUGENE C. KLATTE, M.D., MYRON H. WEINBERGER, M.D.Percutaneous Transluminal Angioplasty of Renal Artery StenosisPercutaneous transluminal renal angioplasty in the treatment of unilateral atherosclerotic renovascular hypertensionPercutaneous Transluminal Dilatation for Renovascular HypertensionDAVID A. MCCARRON, M.D. 1 January 1980Volume 92, Issue 1Page: 117-119KeywordsCathetersHypertensionRenal arteriesStenosis ePublished: 1 December 2008 Issue Published: 1 January 1980 PDF downloadLoading ...