Boyer L, Chouzet S, Perez N, Carrié D, Ravel A, Havard P, Baguet J C, Viallet J F
Service de Radiologie et Imagerie Médicale, Hôpital Gabriel Montpied, CHU, Clermont-Ferrand.
Ann Radiol (Paris). 1995;38(7-8):447-50.
To determine variations of serum creatinine level immediately after percutaneous angioplasty for renal artery stenosis. After technical success of unilateral or bilateral percutaneous angioplasty for renal artery stenosis in 91 patients (mean age 62.7 years) in whom ioxaglate was always used (90 to 300 ml, mean 195), serum creatinine levels immediately before and 48 hours after dilatation were compared. In the whole population, no significant variation was observed in the overall population. No significant difference was observed between unilateral and bilateral renal angioplasty. The volume of contrast media did not influence creatinine level, nor did iodine injection performed during (n = 4) or more than 3 days before angioplasty. A significant difference was observed with or without diabetes mellitus (n = 15, p = 0.05). In patients without diabetes mellitus technically successful percutaneous angioplasty for renal artery stenosis when using ioxaglate do not significant alter serum creatinine level 48 hours later.
为了确定肾动脉狭窄经皮血管成形术后即刻血清肌酐水平的变化。在91例（平均年龄62.7岁）始终使用碘克沙醇（90至300毫升，平均195毫升）进行单侧或双侧肾动脉狭窄经皮血管成形术且技术成功的患者中，比较了扩张前即刻和扩张后48小时的血清肌酐水平。在总体人群中，未观察到显著变化。单侧和双侧肾血管成形术之间未观察到显著差异。造影剂的用量不影响肌酐水平，血管成形术期间（n = 4）或血管成形术前3天以上进行的碘注射也不影响肌酐水平。有或无糖尿病（n = 15，p = 0.05）的患者之间观察到显著差异。在无糖尿病的患者中，使用碘克沙醇进行技术成功的肾动脉狭窄经皮血管成形术不会在48小时后显著改变血清肌酐水平。
