Most Read Articles
Elvira Manzano, Yesterday
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
07 Oct 2017
Women who follow a low-fat dietary pattern appear to have reduced breast cancer mortality, according to data from the Earlier Women’s Health Initiative Dietary Modification trial.
Pearl Toh, 5 days ago
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.

Balloon angioplasty better than stenting in renal artery interventions

20 Aug 2017

Balloon angioplasty provides better outcomes in renal artery interventions compared with stent implantation, according to a recent meta-analysis.

Seven studies included a total of 266 patients and 316 lesions, of which 186 were treated with balloon angioplasty while 130 were treated with stenting.  Subsequent meta-analysis showed that there was no significant difference in the incidence of restenosis between the two treatments (odds ratio [OR], 2.39; 0.66 to 8.66; p=0.18).

Similarly, there was no significant difference between the two treatments in terms of improving renal hypertension (OR, 0.65; 0.28 to 1.51; p=0.31).

Balloon angioplasty and stent implantation also conferred similar incidence rates of complications, including progressive renal insufficiency, transient ischaemic attack, stroke and congestive heart failure (OR, 1.80; 0.49 to 6.65; p=0.38).

On the other hand, stenting in renal arteries resulted in higher incidence rates of restenosis compared with balloon angioplasty (OR, 4.40; 2.14 to 9.02; p<0.001). Balloon angioplasty also delivered significantly lower rates of acute vascular complications in renal artery intervention than stenting (OR, 0.07; 0.02 to 0.29; p<0.001).

Studies that compared endovascular balloon angioplasty to stent implantation in Takayasu arteritis patients were searched from the databases of Medline and Embase. Those with unreliable or overlapping data, case reports and reviews were excluded.

Among the information extracted were characteristics of the study sample, number of lesions, location of lesions and treatment method used. Heterogeneity between studies was evaluated using the Cochrane Q test.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Elvira Manzano, Yesterday
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
07 Oct 2017
Women who follow a low-fat dietary pattern appear to have reduced breast cancer mortality, according to data from the Earlier Women’s Health Initiative Dietary Modification trial.
Pearl Toh, 5 days ago
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.