Özet:

Purpose: Monitoring and determining the primary success rate of the results of ballon anjioplasty or renal artery stent application in patients with renal artery narrowness and renal hypertension in control.Method: The events of renal anjioplasty and stent application pre-renal angio findings, Doppler ultrasound findings and if there is, MR angio findings were evaluated. The clinical assessment of the symptoms was carried out based on changes in renal functions, blood pressure values and the number of medications used. The findings: Thirty-seven (22 men, 15 women; average age 50.24) of the patient’s 32 renal arteries were placed in a stent expanding with a balloon. 37 patients were applied ballon angioplasty to 7 renal arteries. All patients had hypertension, 12 patients had kidney dysfunction. Patients were monitored with blood pressure and serum creatine levels before and after the treatment to determine the effectiveness of the treatment. The density ratio was 30%-100% (74.15% average). 15 patients were injured. Twenty-four patients were treated. The follow-up period was an average of 21.2 (3-84 months) months. Hypertension 9 (24.33) healed in the patient. 19 patients were recovered. Nine of the patients were not responded. In 12 patients with kidney function disruption, 8 (22.22) experienced improvement, while in 4 experienced deterioration. At 4 (11.10%) there was no change. The result: Revasculation of renal arterial contractions with stent and percutaneous transluminal angioplasty is a simple effective and reliable method of treatment. In patients with progressive renal insufficiency and uncontrollable hypertension, percutaneous transluminal anjioplasty and stent and renal arterial compounds revascularization provide significant clinical benefit.