The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries

Keskin, Suat; Keskin, Zeynep; KÜÇÜKAY, Fahrettin

The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries

Zeynep KESKİN, (Konya Eğitim ve Araştırma Hastanesi, Radyoloji, Konya Bölümü, Konya, Türkiye)

Fahrettin KÜÇÜKAY, (Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara, Türkiye)

Suat KESKİN (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Radyoloji Anabilim Dalı, Konya, Türkiye)

European Journal of General Medicine

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Yıl: 2012 Cilt: 9 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries

Öz:

Bu çalışmanın amacı, renal arter stenozu ile periferik arter hastalığı birlikteliğini değerlendirmek ve periferik arter hastalığı olan hastalarda insidental renal arter stenozu sıklığını saptamaktır. Bu çalışmaya alt ekstremite arterlerine yönelik DSA yapılan ve en az bir segmentinde %50 ve üzeri stenoz saptanan toplam 1502 hasta dahil edildi. Alt ekstremite arterleri aortoiliak, femoropop- liteal ve infrapopliteal olarak 3 segmente ayrılarak değerlendirildi. Segmentler tek segment ve multisegment tutulumu olarak sınıflandırıldı. Multisegmentler aortoiliak+femoropopliteal, aortoiliak+infrapopliteal, femoropopliteal+infrapopliteal ve aorto ilaik+femoropopliteal+infrapopliteal olarak isimlendirildi. En az bir segmentde %50 ve üzeri stenozu olanlar çalışmaya alındı. Segmental periferal arter hastalığı ve renal arter stenozu birlikteliğini karşılaştırmada ki-kare testi kullanıldı. Periferik vasküler hastalığı olan 1502 hastanın 228 inderenal arter stenozu saptandı. Renal arter stenozu sıklığı tek segment tutulumu olanlarda multi segment tutulumuna göre daha az bulundu (p=0.03). Renal arter stenozu sıklığı tek segment tutulumunda %11,9 ve multi- segment tutulumunda %16,4 bulundu. Renal arter stenozu sıklığı diğerleriyle karşılaştırıldığında infrapopliteal tutulumda (%6) daha az bulundu (p=0.027). Sağ, sol ve bilateral renal arter stenozuyla segment tutulumları karşılaştırıldığında segment grupları arasında fark bulunmadı (p=0.086, p=0.219). Kadınlarda renal arter stenozu sıklığı daha yüksek oranda bulundu (%23.6, p=0.01). Renal arter stenozu periferal vasküler hastalığı olanlarda %15,2 sıklıkla görülmektedir. Renal arter stenozu infrapopliteal segment tutulumunda daha görüşmektedir. Multisegment tutulumu ile karşılaştırıldığında tek segment tutulumunda renal arter stenozu sıklığı kadınlarda erkeklere nazaran daha sıktır.

Anahtar Kelime:

Konular: Cerrahi

Belirgin alt ekstremite arter darlığı olan hastalarda renal arter darlığının sıklığı

Öz:

The purpose of this study is to evaluate the unity of renal artery stenosis and peripheral vascular disease and to find the fre- quency of incidental renal artery stenosis in the patients with peripheral vascular disease. In this study,it was included 1502 patients that were sent from cardiovascular surgery department to radiology department to do lower extremity digital substrac- tion angiography and found on at least one segment 50% stenosis and more. The arteries of lower extremity were evaluated by dividing into three segments as aortoiliac, femoropopliteal and infrapopliteal. Segments were classified as unisegment and mul- tisegment. Multisegments were named aortoiliac+femoropopliteal, aortoiliac+infrapopliteal, femoropopliteal+infrapopliteal and aortoiliac+femoropopliteal+ infrapopliteal. Patients with 50% stenosis and more of renal artery are decided. The unity of renal artery stenosis and the segmental disease of peripheral artery were compared by using Chi-Square test. It was found evident renal artery stenosis in 228 (15.2%) of 1502 patients with peripheral vascular disease. The frequency of renal artery stenosis was found lesser at unisegment disease than multisegment disease (p=0.03). The renal artery stenosis was found 11.9% unisegment and %16.4 at multisegment disease. The frequency of renal artery stenosis was appeared less at infrapopliteal (6%) disease compared to the others (p=0.027). It was not found any difference between groups when the segmental groups of peripheral vascular disease was compared with right, left and bilateral renal artery stenosis (p=0.086, p=0.219). It was found higher rate of renal artery stenosis at women (23.6%, p=0.01). The frequency of renal artery stenosis is %15,2 in the patients with peripheral vascular disease. Renal artery stenosis is less at infrapopliteal segment disease. Renal artery stenosis in women is more than men at multisegment disease compared to unisegment disease.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Keskin Z, KÜÇÜKAY F, Keskin S (2012). The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. , 1 - 6.
Chicago	Keskin Zeynep,KÜÇÜKAY Fahrettin,Keskin Suat The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. (2012): 1 - 6.
MLA	Keskin Zeynep,KÜÇÜKAY Fahrettin,Keskin Suat The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. , 2012, ss.1 - 6.
AMA	Keskin Z,KÜÇÜKAY F,Keskin S The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. . 2012; 1 - 6.
Vancouver	Keskin Z,KÜÇÜKAY F,Keskin S The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. . 2012; 1 - 6.
IEEE	Keskin Z,KÜÇÜKAY F,Keskin S "The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries." , ss.1 - 6, 2012.
ISNAD	Keskin, Zeynep vd. "The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries". (2012), 1-6.

APA	Keskin Z, KÜÇÜKAY F, Keskin S (2012). The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. European Journal of General Medicine, 9(1), 1 - 6.
Chicago	Keskin Zeynep,KÜÇÜKAY Fahrettin,Keskin Suat The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. European Journal of General Medicine 9, no.1 (2012): 1 - 6.
MLA	Keskin Zeynep,KÜÇÜKAY Fahrettin,Keskin Suat The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. European Journal of General Medicine, vol.9, no.1, 2012, ss.1 - 6.
AMA	Keskin Z,KÜÇÜKAY F,Keskin S The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. European Journal of General Medicine. 2012; 9(1): 1 - 6.
Vancouver	Keskin Z,KÜÇÜKAY F,Keskin S The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries. European Journal of General Medicine. 2012; 9(1): 1 - 6.
IEEE	Keskin Z,KÜÇÜKAY F,Keskin S "The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries." European Journal of General Medicine, 9, ss.1 - 6, 2012.
ISNAD	Keskin, Zeynep vd. "The incidence of renal artery stenosis in patients with significant stenosis of lower extremity arteries". European Journal of General Medicine 9/1 (2012), 1-6.