Treatment of Refractory Hypertension with Timely Angioplasty in Total Renal Artery Occlusion with Atrophic Kidney.
atherosclerotic renovascular disease
diffusion-weighted MRI
renal artery stenosis
renin-angiotensin system inhibitors
renovascular hypertension
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Jan 2021
15 Jan 2021
Historique:
pubmed:
25
8
2020
medline:
15
4
2021
entrez:
25
8
2020
Statut:
ppublish
Résumé
Angioplasty for cases of chronic total occlusion of renal artery with/without atrophic kidney is generally not recommended. We herein report a 57-year-old man who presented with renin-mediated refractory hypertension caused by occlusion of a unilateral renal artery leading to kidney atrophy (length: 69 mm). Angioplasty favorably achieved blood pressure control with normalized renin secretion and enlargement of the atrophic kidney to 85 mm. Timely angioplasty can be beneficial in select patients, even with an atrophic kidney and total occlusion, especially in cases with deterioration of hypertension within six months and the presence of collateral perfusion to the affected kidney.
Identifiants
pubmed: 32830180
doi: 10.2169/internalmedicine.5290-20
pmc: PMC7872794
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
287-292Références
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