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Review
. 2017 Apr-Jun;16(2):150-161.
doi: 10.1590/1677-5449.010816.

Resultados a longo prazo da angioplastia de artérias renais com stent na doença aterosclerótica: revisão sistemática

[Article in Portuguese]
Daniel Emilio Dalledone Siqueira  1 , Ana Terezinha Guillaumon  1
Affiliations
Review

Resultados a longo prazo da angioplastia de artérias renais com stent na doença aterosclerótica: revisão sistemática

[Article in Portuguese]
Daniel Emilio Dalledone Siqueira et al. J Vasc Bras. 2017 Apr-Jun.

Abstract
in English, Portuguese

Abstract: Atherosclerotic renovascular disease is the most important cause of secondary hypertension. The natural history of the disease reveals progression rates of 4 to 12% per year. Angioplasty with renal artery stenting is one treatment option; but there are few studies that have reported long-term results. The objective of this systematic literature review is to discuss the long-term results (at least 24 months) of angioplasty with stenting of renal arteries for atherosclerotic disease, in terms of renal function and blood pressure levels for control of hypertension. A thorough search was conducted of LILACS, EMBASE, SCIELO, Cochrane Library, and MEDLINE using the appropriate terms. Just seven out of 2170 references identified met all inclusion criteria. It was concluded that over the long term renal function was stabilized, blood pressure levels were reduced, and the number of classes of antihypertensive medication decreased.

A doença renovascular aterosclerótica é a principal causa de hipertensão secundária. A história natural da doença demonstra taxas de progressão de 4 a 12% ao ano. Entre os métodos de tratamento existe a angioplastia com stent de artérias renais; porém, poucos estudos clínicos demonstraram seus resultados a longo prazo. Esta revisão sistemática da literatura se propõe a apresentar os resultados a longo prazo (acima de 24 meses) da angioplastia com stent de artérias renais na doença aterosclerótica em relação à função renal e aos níveis pressóricos no controle da hipertensão. Foi realizada uma ampla pesquisa, utilizando os termos apropriados, nas bases de dados LILACS, EMBASE, SCIELO, Cochrane Library e MEDLINE. De um total de 2.170 referências, apenas sete artigos contemplavam todos os critérios de inclusão. Conclui-se que, a longo prazo, há uma estabilização da função renal, redução dos níveis pressóricos e diminuição do número de classes de medicamentos anti-hipertensivos.

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Conflict of interest statement

Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados.

Figures

Figura 1
Figura 1. Resumo dos resultados das buscas nas bases eletrônicas.
Figure 1
Figure 1. Summary of results of searches on electronic databases.
See this image and copyright information in PMC

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