Background: Although renovascular hypertension is a rare disease, it is associated with 5–10 % of cases of childhood hypertension. It is a potentially treatable cause of hypertension, and is often caused by renal artery stenosis (RAS). The most common cause of RAS in children is fibromuscular dysplasia (FMD). The options for treating RAS depend on the location, severity and abnormality underlying the condition.Case presentationA previously healthy 7-year-old Korean boy presented to our clinic with hypertension and headache. Renal ultrasonography and multi-detector computed tomography (MDCT) showed severe focal stenosis at the middle portion of the left renal artery (LRA) and multiple collateral vessels. Percutaneous balloon angioplasty was performed as an initial treatment, but yielded unsatisfactory results. The presence of intimal-type FMD was suspected based on his clinical features, angiographic appearance, and resistance to percutaneous transluminal renal angioplasty. Thereafter, his blood pressure was normalized using antihypertensive medication. Follow-up multi-detector computed tomography at 11 years of age showed persistent severe stenosis of the LRA. After unsuccessful attempts to perform balloon angioplasty, 3.5-mm cutting balloon angioplasty (CBA) was performed and yielded satisfactory results. He was discharged without any medication. At 1 year and 6 months after the intervention, he has been normotensive and had not required any antihypertensive medication. Conclusion: The author describes a case of resistant RAS that was detected on MDCT and successfully treated using percutaneous (CBA). Although cutting balloon angioplasty is useful in many clinical conditions, including the current case, clinicians should carefully consider the associated risk of arterial disruption and pseudoaneurysm formation.
from #Medicine via ola Kala on Inoreader http://ift.tt/1krBNSc
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
►
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
- ► Ιανουαρίου (5592)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
►
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
- ► Φεβρουαρίου (793)
-
▼
2015
(2119)
- ► Δεκεμβρίου (940)
-
▼
Νοεμβρίου
(765)
-
▼
Νοε 12
(48)
- OtoRhinoLaryngology & Medicine,New Articles,Novemb...
- Reply to the Letter “Effect of anti-oxidant agents...
- Age-related effects on verbal and visuospatial mem...
- Molecules, Vol. 20, Pages 20341-20354: Direct Amin...
- Molecules, Vol. 20, Pages 20334-20340: Triterpenoi...
- Molecules, Vol. 20, Pages 20320-20333: Enhancement...
- Molecules, Vol. 20, Pages 20312-20319: Cytotoxic A...
- Molecules, Vol. 20, Pages 20355-20380: α-Linolenic...
- IJMS, Vol. 16, Pages 27072-27086: A Comparative St...
- IJMS, Vol. 16, Pages 27058-27071: Benzene-Induced ...
- IJMS, Vol. 16, Pages 27044-27057: Online Measureme...
- A predictive coding account of MMN reduction in sc...
- Successful cutting balloon angioplasty in a child ...
- Development of repeatable arrays of proteins using...
- Materials, Vol. 8, Pages 7650-7662: High Temperatu...
- Microorganisms, Vol. 3, Pages 866-889: Hydrogen Su...
- Microorganisms, Vol. 3, Pages 851-865: Bioactiviti...
- Molecules, Vol. 20, Pages 20297-20311: Derinat Pro...
- Materials, Vol. 8, Pages 7663-7672: Enhanced Erbiu...
- Prenatal diagnosis of single gene disorders using ...
- Identification of biomarkers to measure HIV-specif...
- Dynamics and role of antibodies to Plasmodium falc...
- Metals, Vol. 5, Pages 2119-2127: Liquid Phase Sepa...
- Metals, Vol. 5, Pages 2109-2118: Dynamic Strain Ev...
- Life, Vol. 5, Pages 1610-1628: Non-Standard Geneti...
- Life, Vol. 5, Pages 1587-1609: Starvation-Survival...
- Laws, Vol. 4, Pages 709-728: The Convention for th...
- Molecules, Vol. 20, Pages 20286-20296: β–Cyclodext...
- Effect of anti-oxidant agents in patients with hep...
- Healthcare, Vol. 3, Pages 1158-1173: The Applicati...
- Games, Vol. 6, Pages 604-636: The Role of Implicit...
- Entropy, Vol. 17, Pages 7680-7697: Using Expectati...
- Forests, Vol. 6, Pages 4088-4104: Characterization...
- Coatings, Vol. 5, Pages 830-864: The Search for Du...
- Coatings, Vol. 5, Pages 816-829: Natural Deposit C...
- Catalysts, Vol. 5, Pages 1928-1947: Molybdenum (VI...
- Catalysts, Vol. 5, Pages 1911-1927: Zr-SBA-15 Lewi...
- Catalysts, Vol. 5, Pages 1897-1910: Direct Convers...
- Biomolecules, Vol. 5, Pages 3142-3176: Immune Mech...
- Microarrays, Vol. 4, Pages 551-569: SNPs Array Kar...
- Applied Sciences, Vol. 5, Pages 1134-1163: An Effi...
- JDB, Vol. 3, Pages 93-111: Pbx4 is Required for th...
- Reproductive history and risk of cognitive impairm...
- Toxins, Vol. 7, Pages 4706-4729: Metabolism of Deo...
- Reasons & Symptoms of Dengue Fever
- Intra-individual lap time variation of the 400-m w...
- IJMS, Vol. 16, Pages 27032-27043: A PPO Promoter f...
- IJMS, Vol. 16, Pages 27015-27031: Sildenafil Prote...
-
▼
Νοε 12
(48)
Αναζήτηση αυτού του ιστολογίου
Πέμπτη 12 Νοεμβρίου 2015
Successful cutting balloon angioplasty in a child with resistant renal artery stenosis
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
Alimentary Pharmacology &Therapeutics, EarlyView. https://ift.tt/2qECBIJ
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.