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Are Covered Renal Stents Protective Against Late Renal Artery Stenosis or Occlusion?

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Are Covered Renal Stents Protective Against Late Renal Artery Stenosis or Occlusion?

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Amit Kumar, MD, Roy K. Greenberg, MD, Catherine Francis, Vikram S. Kashyap, MD, Kate Pfaff, Leslie Geiger, RN, Ethan Katz Vascular Surgery, Cleveland Clinic Foundation, Cleveland, OH Objective: Several studies have assessed the safety and efficacy of renal stenting to treat renovascular hypertension or insufficiency. Restenosis rates have ranged from 10-16%, with most events occurring within 2 years of treatment. The aim of this study was to compare renal specific outcomes between patients treated with covered versus uncovered renal stents. Methods: Patients were enrolled in a prospective non-randomized study between 2001-2006 evaluating endovascular stent-grafts for treatment of juxtarenal (JAA) or thoracoabdominal (TAA) aortic aneurysms. Patients were treated with aortic devices coupled with uncovered (JAA) or ePTFE covered (TAA) balloon expandable renal stents, mostly 7 mm in size. Patients were followed at 1, 6, 12, 24, and 36 months post procedure with the status of each renal art

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