Renal artery stenting using gadodiamide arteriography in patients with baseline renal insufficiency

Tareq S. Harb, John R. Laird, Robert S. Dieter, Bhagat K. Reddy, Donna Whitman, Joseph C. Babrowicz, Lowell F. Satler

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Purpose: To investigate whether a contrast agent containing gadodiamide can reduce the incidence of contrast-induced nephropathy associated with renal artery stenting in patients with preexisting renal insufficiency. Methods: Between 1999 and 2002, gadodiamide-based arteriography was used in 20 patients (12 men; mean age 69 years) with significant baseline renal insufficiency (creatinine ≥1.7 mg/dL) undergoing renal artery stenting for ≥70% stenoses in 25 renal arteries. Baseline creatinine levels were compared to postprocedure and midterm follow-up levels. Results: Procedural success was 100%. An average of 74 mL of gadodiamide contrast was used per case. Four patients received an additional 30 mL (mean) of iodinated contrast due to poor image quality with gadodiamide alone. There was no significant change in mean creatinine levels at discharge (2.9 mg/dL) compared to baseline (3.0 mg/dL, p=0.72). At midterm follow-up, mean creatinine levels (2.4 mg/dL) were significantly lower compared to baseline; (p=0.004). Conclusions: Gadodiamide-based arteriography can be effectively used during RAS in patients with baseline renal insufficiency. This technique may enhance the renal-protective effect of renal artery stenting in this high-risk population with renal artery stenosis.

Original languageEnglish (US)
Pages (from-to)553-559
Number of pages7
JournalJournal of Endovascular Therapy
Volume11
Issue number5
DOIs
StatePublished - Oct 2004
Externally publishedYes

Keywords

  • Complication
  • Digital subtraction angiography
  • Gadodiamide
  • Gadolinium
  • Renal artery stenting
  • Renal insufficiency
  • Serum creatinine

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Harb, T. S., Laird, J. R., Dieter, R. S., Reddy, B. K., Whitman, D., Babrowicz, J. C., & Satler, L. F. (2004). Renal artery stenting using gadodiamide arteriography in patients with baseline renal insufficiency. Journal of Endovascular Therapy, 11(5), 553-559. https://doi.org/10.1583/04-1234.1