Diagnostic value of renal Doppler ultrasound for renal artery restenosis after percutaneous angioplasty and endoluminal stenting: a systematic review and Meta-analysis

doi:10.3877/cma.j.issn.1672-6448.2020.01.008

Abstract

Abstract:

Objective

To evaluate the diagnostic value of renal duplex sonography (RDS) for renal artery restenosis after percutaneous angioplasty and endoluminal stenting (PTAS) by meta-analysis.

Methods

Domestic and international databases were searched from inception to December 2018 for relevant articles. The retrieved articles were screened according to the inclusion and exclusion criteria, and the quality evaluation and heterogeneity test were carried out. The diagnostic value of RDS for renal artery restenosis after PTAS was evaluated by meta-analysis.

Results

There were six qualified articles included in this meta-analysis. The pooled sensitivity and specificity were 92% and 89%, respectively, and the pooled diagnostic odds ratio was 83.33. The area under the curve (AUC) of the summary receiver operating characteristic (SROC) was 0.9542, and the Q* index was 0.8963.

Conclusion

RDS is highly valuable in the diagnosis of renal artery restenosis after PTAS.

Key words: Percutaneous angioplasty and endoluminal stenting, Doppler ultrasound, Renal artery, Restenosis, Meta-analysis

Yixuan Zhang, Yahong Wang, Ying Wang, Jianchu Li. Diagnostic value of renal Doppler ultrasound for renal artery restenosis after percutaneous angioplasty and endoluminal stenting: a systematic review and Meta-analysis[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(01): 39-45.

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References 32

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纳入标准	排除标准
①研究对象为PTAS术后的肾动脉；	①文献属于综述、个案报道，非原始一次研究；
②研究目的为对肾动脉多普勒超声检查诊断肾动脉再狭窄的准确性进行评价	②实验设计中未提及金标准的具体方法；
③用于评价肾动脉超声诊断的金标准为血管造影或类似影像学检查；	③发表文章内容中缺少原始数据，真阳性、假阳性、假阴性、真阴性数据不可得或者不可计算求得；
④诊断试验的真阳性、假阳性、假阴性、真阴性数据可获得或可计算出；	?

纳入标准	排除标准
①研究对象为PTAS术后的肾动脉；	①文献属于综述、个案报道，非原始一次研究；
②研究目的为对肾动脉多普勒超声检查诊断肾动脉再狭窄的准确性进行评价	②实验设计中未提及金标准的具体方法；
③用于评价肾动脉超声诊断的金标准为血管造影或类似影像学检查；	③发表文章内容中缺少原始数据，真阳性、假阳性、假阴性、真阴性数据不可得或者不可计算求得；
④诊断试验的真阳性、假阳性、假阴性、真阴性数据可获得或可计算出；	?

序号	第一作者	发表年份（年）	国家	研究类型	超声检查距离PTAS术时间	"金标准"方法	诊断狭窄的程度阈值（%）	诊断指标	诊断狭窄PSV/RAR阈值（cm/s）	纳入的肾动脉条数	TP	FP	FN	TN
1	Jeannette B	1999	荷兰	前瞻性	NM	血管造影	50	PSV	226	33	4	2	0	17
2	Napoli V	2002	意大利	前瞻性	1、3、6、12个月至每6个月	CTA\MRA\血管造影	60	PSV	144	98	19	5	2	72
3	Rocha-Singh K	2008	美国	前瞻性	9个月	血管造影	60	PSV&RAR	225/3.5	30	15	1	3	11
4	Chi YW	2009	美国	前瞻性	3、6、12个月至每年	血管造影	70	PSV	395	67	15	6	3	43
5	Fleming SH	2010	美国	回顾性	1、4、6个月	血管造影	60	PSV	180	66	17	9	6	34
6	Del Conde I	2014	美国	回顾性	NM	血管造影&CTA	60	PSV	241	132	41	10	3	78
7	Wuamett JC	2016	美国	回顾性	NM	血管造影&CTA	60	PSV	255	128	65	10	3	50

序号	第一作者	发表年份（年）	国家	研究类型	超声检查距离PTAS术时间	"金标准"方法	诊断狭窄的程度阈值（%）	诊断指标	诊断狭窄PSV/RAR阈值（cm/s）	纳入的肾动脉条数	TP	FP	FN	TN
1	Jeannette B	1999	荷兰	前瞻性	NM	血管造影	50	PSV	226	33	4	2	0	17
2	Napoli V	2002	意大利	前瞻性	1、3、6、12个月至每6个月	CTA\MRA\血管造影	60	PSV	144	98	19	5	2	72
3	Rocha-Singh K	2008	美国	前瞻性	9个月	血管造影	60	PSV&RAR	225/3.5	30	15	1	3	11
4	Chi YW	2009	美国	前瞻性	3、6、12个月至每年	血管造影	70	PSV	395	67	15	6	3	43
5	Fleming SH	2010	美国	回顾性	1、4、6个月	血管造影	60	PSV	180	66	17	9	6	34
6	Del Conde I	2014	美国	回顾性	NM	血管造影&CTA	60	PSV	241	132	41	10	3	78
7	Wuamett JC	2016	美国	回顾性	NM	血管造影&CTA	60	PSV	255	128	65	10	3	50

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