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Guide to Peripheral and Cerebrovascular Intervention by Deepak L. Bhatt

By Deepak L. Bhatt

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Extra info for Guide to Peripheral and Cerebrovascular Intervention

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Stents are preferred for ostial lesions. qxd 18/8/04 17:36 Page 34 Case selection Clinical findings associated with renal artery stenosis Present Absent Noninvasive evaluation: Duplex ultrasonography of renal arteries Magnetic resonance angiography Computed tomographic angiography Follow clinically Treat risk factors Renal artery stenosis present Renal artery stenosis absent Nuclear imaging to estimate fractional flow to each kidney Follow clinically Treat risk factors Unilateral renal artery stenosis and asymmetric perfusion present Unilateral renal artery stenosis and symmetric perfusion present Bilateral renal artery stenosis present Follow clinically Treat risk factors Consider revascularization Figure 5.

Ouriel K. Peripheral arterial disease. Lancet 2001;358:1257–64. qxd 18/8/04 17:36 Page 36 Case selection 19. Bosch JL, Hunink MG. Meta-analysis of the results of percutaneous transluminal angioplasty and stent placement for aortoiliac occlusive disease. Radiology 1997;204:87–96. 20. Richter G, Noeldge G, Roeren T, et al. First long term results of a randomized multicenter trial: iliac balloon expandable stent placement versus regular percutaneous transluminal angioplasty. In: Lierman D, editor.

Suggested reading • Mizeres NJ. Human Anatomy: A Synoptic Approach. New York: Elsevier Publishing, 1981. • Anderson JE, editor. Grant’s Atlas of Anatomy, 8th Edition. Baltimore: Williams and Wilkins Publishing, 1983. • Carpenter MB. Core Text of Neuro Anatomy, 3rd Edition. Baltimore: Williams and Wilkins Publishing, 1985. • Sadler TW, editor. Langman’s Medical Embryology, 5th Edition. Baltimore: Williams and Wilkins Publishing, 1985. qxd 18/8/04 17:36 Page 22 Case selection Introduction Meticulous case selection sets the basis for a successful intervention.

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