Renovascular hypertension in children.
Fibro-muscular dysplasia
Mid-aortic syndrome
Paediatric interventional radiology
Renal artery stenosis
Journal
CVIR endovascular
ISSN: 2520-8934
Titre abrégé: CVIR Endovasc
Pays: Switzerland
ID NLM: 101738484
Informations de publication
Date de publication:
07 Jan 2021
07 Jan 2021
Historique:
received:
20
07
2020
accepted:
11
11
2020
entrez:
7
1
2021
pubmed:
8
1
2021
medline:
8
1
2021
Statut:
epublish
Résumé
Paediatric hypertension, defined as systolic blood pressure > 95th percentile for age, sex and height is often incidentally diagnosed. Renovascular hypertension (RVH) is responsible for 5-25% of hypertension in children. Renal artery stenosis and middle aortic syndrome can both can be associated with various conditions such as fibromuscular dysplasia, Williams syndrome & Neurofibromatosis type 1. This paper discusses the approaches to diagnosis and interventional management and outcomes of renovascular hypertension in children. Angiography is considered the gold standard in establishing the diagnosis of renovascular disease in children. Angioplasty is beneficial in the majority of patients and generally repeated angioplasty is considered more appropriate than stenting. Surgical options should first be considered before placing a stent unless there is an emergent requirement. Given the established safety and success of endovascular intervention, at most institutions it remains the preferred treatment option.
Identifiants
pubmed: 33411105
doi: 10.1186/s42155-020-00176-5
pii: 10.1186/s42155-020-00176-5
pmc: PMC7790992
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
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