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[Revascularization of total renal artery occlusion by angioplasty and stent placement]
G Fernandez-Fresnedo1, T Piña, F Mateos Chaparro
1Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander. nefffg@humv.es
Insights
Renal artery stenosis can cause secondary hypertension and kidney damage. Percutaneous transluminal angioplasty and stenting successfully controlled blood pressure and improved renal function in a patient with bilateral renal artery disease.
Area of Science:
- Cardiovascular Medicine
- Nephrology
- Interventional Cardiology
Background:
- Renal artery stenosis (RAS) is a significant cause of secondary hypertension.
- Atherosclerotic RAS can lead to progressive renal function decline.
- Revascularization is considered for select patients to manage hypertension and preserve kidney function.
Observation:
- A 66-year-old male presented with secondary hypertension and worsening renal function.
- The patient had bilateral atherosclerotic renal artery disease, including complete occlusion of the left renal artery and subocclusive stenosis of the right renal artery.
Findings:
- Bilateral percutaneous transluminal angioplasty and renal artery stenting were performed.
- The procedure successfully controlled the patient's blood pressure.
- Renal function improved and remained stable post-intervention.
Implications:
- Percutaneous revascularization can be effective in managing complex atherosclerotic renal artery disease.
- Successful treatment of RAS can lead to improved blood pressure control and renal function preservation.
- This case highlights the benefits of endovascular treatment for bilateral renal artery stenosis in selected patients.
Abstract:
Revascularization of renal artery stenosis for the treatment of hypertension is an established procedure. In selected clinical scenarios, successful revascularization procedures may preserve or restore renal function. We present a 66-year-old man with secundary hypertension and deteriorating renal function caused by bilateral atherosclerotic renal artery disease (complete obstruction of the left renal artery and subocclusive stenosis of the right) in which blood pressure was successfully controlled and renal function improved and maintained steady after bilateral percutaneus transluminal angioplasty and renal artery stenting.
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