Document Detail


Failure and success of percutaneous angioplasty in a hypertensive child with bilateral renal artery stenosis.
MedLine Citation:
PMID:  18443856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the clinical course of a 5-year-old girl with severe arterial hypertension that was uncontrollable with antihypertensive medication. Renal angiography revealed bilateral renal artery stenoses. Because percutaneous transluminal renal angioplasty (PTRA) failed to dilate the stenotic lesions, a renal artery bypass grafting in both renal arteries was performed. The patient remained normotensive for 7 months, and after that the arterial pressure increased again. Digital subtraction angiography demonstrated stenosis at the peripheral and central anastomosis of the vein graft that was used for revascularization of the left kidney. PTRA was decided on and successful patency was achieved. The patient has now been normotensive for a period of 5 years.
Authors:
Constantinos Giavroglou; Ioannis Tsifountoudis; Theodoros Boutzetis; Dimitrios Kiskinis
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-29
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  32     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  150-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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MeSH Terms
Descriptor/Qualifier:
Angiography, Digital Subtraction
Angioplasty, Balloon
Child, Preschool
Female
Humans
Hypertension / complications*,  drug therapy
Kidney Function Tests
Renal Artery / radiography,  surgery
Renal Artery Obstruction / etiology,  radiography,  surgery*
Treatment Failure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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