{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:15:08Z","timestamp":1788491708292,"version":"build-2803163510"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background\u2014<\/jats:title>\n                    <jats:p>In previous studies on the effect of renal stenting on arterial hypertension, patients were selected mainly on the basis of angiographic parameters of the renal artery stenosis. The aim of the present study was to evaluate whether translesional pressure gradients could identify the patients with renal artery stenosis who might benefit from stenting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results\u2014<\/jats:title>\n                    <jats:p>\n                      A total of 53 consecutive hypertensive patients with unilateral RAS scheduled for renal artery intervention were recruited. Transstenotic pressure gradients were measured at baseline and during maximal hyperemia, before renal artery stenting. Twenty-four-hour ambulatory blood pressure measurements were performed in all patients before and 3 months after the intervention. Average reductions in systolic blood pressure and diastolic blood pressure at follow-up were \u221220\u00b130 mm Hg and \u22122\u00b112 mm Hg, respectively. At multivariate analysis, dopamine-induced mean gradient was the only independent predictor of the variations of both systolic blood pressure (regression coefficient=\u22124.03, standard error=1.11;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) and diastolic blood pressure (regression coefficient=\u22123.11, standard error=1.20;\n                      <jats:italic>P<\/jats:italic>\n                      =0.009). Patients who showed a decline in systolic blood pressure from the baseline value &gt;20 mm Hg were considered as \u201cresponders.\u201d The optimal cutoff for identification of \u201cresponders\u201d was a dopamine-induced mean gradient \u226520 mm Hg (area under the curve, 0.77; 95% confidence interval, 0.64 to 0.90;\n                      <jats:italic>P<\/jats:italic>\n                      =0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions\u2014<\/jats:title>\n                    <jats:p>A dopamine-induced mean pressure gradient of \u226520 mm Hg is highly predictive of arterial hypertension improvement after renal stenting, and therefore this measurement is useful for appropriate selection of patients with arterial hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circinterventions.110.957704","type":"journal-article","created":{"date-parts":[[2010,11,15]],"date-time":"2010-11-15T23:00:14Z","timestamp":1289862014000},"page":"537-542","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":120,"title":["Translesional Pressure Gradients to Predict Blood Pressure Response After Renal Artery Stenting in Patients With Renovascular Hypertension"],"prefix":"10.1161","volume":"3","author":[{"given":"Fabio","family":"Mangiacapra","sequence":"first","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catalina","family":"Trana","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanna","family":"Sarno","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giedrius","family":"Davidavicius","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcin","family":"Protasiewicz","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Muller","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Argyrios","family":"Ntalianis","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nerijus","family":"Misonis","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Van Vlem","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy R.","family":"Heyndrickx","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"De Bruyne","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Center (F.M., C.T., G.S., O.M., A.N., G.R.H., B.D.B.) and the Department of Nephrology (B.V.V.), OLV-Clinic, Aalst, Belgium; Centre of Cardiology and Angiology (G.D., N.M.), Vilnius University Hospital, Lithuania; and the Department of Cardiology (M.P.), Medical University of Wroclaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.31.3.823"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1000599"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0905368"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21095"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.03.031"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000029805.87199.45"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-139-2-200307150-00013"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.08.071"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000101000"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2008.10.014"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2008.12.008"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2005.09.011"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.34.2.279"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.51.6.1101"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehm631"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20318"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10508"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21074"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10435"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1472-8206.1998.tb00994.x"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20627"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20697"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1152\/ajpregu.00402.2005"}],"container-title":["Circulation: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCINTERVENTIONS.110.957704","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:15:05Z","timestamp":1715552105000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCINTERVENTIONS.110.957704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1161\/CIRCINTERVENTIONS.110.957704"],"URL":"https:\/\/doi.org\/10.1161\/circinterventions.110.957704","relation":{},"ISSN":["1941-7640","1941-7632"],"issn-type":[{"value":"1941-7640","type":"print"},{"value":"1941-7632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12]]},"assertion":[{"value":"2010-04-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-09-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2010-11-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}