Failure and Success of Percutaneous Angioplasty in a Hypertensive Child with Bilateral Renal Artery Stenosis

Journal Article · Thu Jan 15 00:00:00 EST 2009 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-008-9350-4· OSTI ID:21426330

Giavroglou, Constantinos; Tsifountoudis, Ioannis ^[1]; Boutzetis, Theodoros ^[2]; Kiskinis, Dimitrios ^[3]

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1. Aristotle University of Thessaloniki, Department of Radiology, AHEPA Hospital (Greece)
2. Aristotle University of Thessaloniki, Second Pediatric Clinic, AHEPA Hospital (Greece)
3. Aristotle University of Thessaloniki, First Surgery Clinic, AHEPA Hospital (Greece)

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.

• OSTI ID: 21426330
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 32, Issue 1; Conference: BSIR 2008: Annual meeting of the Cardiovascular and Interventional Radiology Society of Europe, Manchester (United Kingdom), 5-7 Nov 2008; Other Information: DOI: 10.1007/s00270-008-9350-4; Copyright (c) 2009 Springer Science+Business Media, LLC; ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BIOMEDICAL RADIOGRAPHY
BYPASSES
CHILDREN
FAILURES
GRAFTS
HYPERTENSION
KIDNEYS
VEINS
AGE GROUPS
ANIMALS
BLOOD VESSELS
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
DIAGNOSTIC TECHNIQUES
DISEASES
MAMMALS
MAN
MEDICINE
NUCLEAR MEDICINE
ORGANS
PRIMATES
RADIOLOGY
SYMPTOMS
TRANSPLANTS
VASCULAR DISEASES
VERTEBRATES