logging in or signing up RENAL ARTERY ANGIOPLASTY BY MOHAMED OMAR MOHAMEDOMAR Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 176 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: August 20, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript RENAL ARTERY ANGIOPLASTY : RENAL ARTERY ANGIOPLASTY Mr.Mohamed Omar El-Farok , M.Sc, FRCSENG,FRCSED INDICATIONS : INDICATIONS Atheromatous Stenoses Fibromuscular Hyperplasia Arteritis Transplant Artery Stenosis Renal angioplasty/stenting : Renal angioplasty/stenting Primary patency at 6-12/12 Stents: 75-85%, PTRA : 25-45% Van der Ven , Lancet 99 Baugmanter, Radiology 2000 APPROACH : APPROACH Femoral Brachial TECHNIQUE : TECHNIQUE Adjunctive Medication: Heparin, Vasodilators Catheters: Cobra, Sidewinder Wires: Atraumatic tip, Microwires, Bentson Devices: Balloon, Stents Complications : Complications 2.1-7.2% Bakker,Cardiovasc Interv Rad 99 Amor, J Endovas Surg,99 Lederman, AHJ,2001 Complications : Complications Access artery Angioplasty site Contrast-related Toolrelated Slide 10: Femoral Brachial Axillary Radial Dissection, thrombosis, false aneurysm, A-V fistula, emboli (peripheral, cerebral), haematoma (nerve/vein compression) ACCESS ARTERY Angioplasty Site : Angioplasty Site Dissection Thrombosis False aneurysm Rupture Retroperitoneal Haemorrhage Tools : Tools Balloon rupture Wire kink/loss Stent migration/deformity Stents : Stents Balloon expandable Low profile “monorail” systems Wide bore shaped sheath/guide catheters Contrast Load : Contrast Load Nephrotoxicity even with low osmolar contrast Good hydration Gadolinium in cases of severe renal dysfunction Slide 49: Gadolinium Restenosis : Restenosis Much lower with stents Remains a problem Drug-impregnated stents ( Cypher ) Slide 51: October 2000 June 2001 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
RENAL ARTERY ANGIOPLASTY BY MOHAMED OMAR MOHAMEDOMAR Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 176 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: August 20, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript RENAL ARTERY ANGIOPLASTY : RENAL ARTERY ANGIOPLASTY Mr.Mohamed Omar El-Farok , M.Sc, FRCSENG,FRCSED INDICATIONS : INDICATIONS Atheromatous Stenoses Fibromuscular Hyperplasia Arteritis Transplant Artery Stenosis Renal angioplasty/stenting : Renal angioplasty/stenting Primary patency at 6-12/12 Stents: 75-85%, PTRA : 25-45% Van der Ven , Lancet 99 Baugmanter, Radiology 2000 APPROACH : APPROACH Femoral Brachial TECHNIQUE : TECHNIQUE Adjunctive Medication: Heparin, Vasodilators Catheters: Cobra, Sidewinder Wires: Atraumatic tip, Microwires, Bentson Devices: Balloon, Stents Complications : Complications 2.1-7.2% Bakker,Cardiovasc Interv Rad 99 Amor, J Endovas Surg,99 Lederman, AHJ,2001 Complications : Complications Access artery Angioplasty site Contrast-related Toolrelated Slide 10: Femoral Brachial Axillary Radial Dissection, thrombosis, false aneurysm, A-V fistula, emboli (peripheral, cerebral), haematoma (nerve/vein compression) ACCESS ARTERY Angioplasty Site : Angioplasty Site Dissection Thrombosis False aneurysm Rupture Retroperitoneal Haemorrhage Tools : Tools Balloon rupture Wire kink/loss Stent migration/deformity Stents : Stents Balloon expandable Low profile “monorail” systems Wide bore shaped sheath/guide catheters Contrast Load : Contrast Load Nephrotoxicity even with low osmolar contrast Good hydration Gadolinium in cases of severe renal dysfunction Slide 49: Gadolinium Restenosis : Restenosis Much lower with stents Remains a problem Drug-impregnated stents ( Cypher ) Slide 51: October 2000 June 2001