The Causes of Early Deterioration in Renal Function Following Successful Renal Interventions

Abstract

The available evidence suggests that endovascular intervention in renovascular renal failure is a safe and efficacious procedure. However there is a significant incidence of early renal deterioration following angioplasty or stent ing. Complications are limited by training and experience but inevitably still occur. Cholesterol embolization and contrast nephrotoxicity may be more important. This review describes the complications and considers whether the kidney should be protected from the effects of cholesterol and contrast and, if so, whether this can be done safely and economically ?

Key Words:

• Endovascular
• renovascular disease
• renal failure
• complications
• contrast nephrotoxicity
• cholesterol embolization

Additional information

Notes on contributors

T. Nicholson

Dr. T. Nicholson, M.B., Ch.B., M.Sc., F.R.C.R. Vascular Radiology Leeds Teaching Hospitals NHS Trust Great George st., Leeds LS13EX Yorkshire, UK Tel.: [phone] Fax: [phone] E-mail: [email protected]