Percutaneous transluminal dilatation for renal artery stenosis in a 22-month-old hypertensive girl

Stanley, Philip; Senac, M O; Bakody, P; Mh, Malekzadeh

doi:10.2214/ajr.140.5.983

Cited by 10 publications

(7 citation statements)

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“…Adult patients with fibromuscular dysplasia show a particularly good response to percutaneous transluminal angioplasty [3]. Successful treatment by transluminal dilatation has now been described in a number of cases of renal artery stenosis in children [4,5]. Our case indicates that Doppler ultrasound examination of the kidneys in hypertensive children may prove to be a valuable, noninvasive means of detecting this condition, which can be treated safely and effectively by transluminal dilatation.…”

Section: Discussionmentioning

confidence: 82%

Fibromuscular dysplasia of the renal artery in a child: detection by Doppler ultrasound and correction by percutaneous transluminal angioplasty

1989

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We describe the case of a fourteen-year old girl with hypertension, in whom renal arterial stenosis was identified by Doppler ultrasound examination, with subsequent demonstration of typical features of fibromuscular dysplasia by selective renal arteriography. Percutaneous transluminal balloon angioplasty was performed, and a sustained improvement in renal arterial flow was confirmed by follow-up Doppler ultrasound examinations.

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Section: Discussionmentioning

confidence: 82%

Fibromuscular dysplasia of the renal artery in a child: detection by Doppler ultrasound and correction by percutaneous transluminal angioplasty

1989

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“…PTA failed in the only infant of 1 y (7). The success rates of angioplasty in infants, in children younger than 2 y, in preschool children younger than 5 y, and in overall pediatric patients were 0%, 33%, 55%, and 59%, respectively (6)(7)(8)(9)(10)(11)(12)(13). The success rate is closely related to the underlying pathology and type of stenosis (6).…”

Section: Discussionmentioning

confidence: 97%

“…Regarding other examinations, up to 15% of patients with proven RAS have normal plasma renin activity (4), and pretreatment with captopril allows radionuclide identification of 91% of affected children (5). Selective renal arteriography and abdominal aortography remain the only reliable means by which to document RAS (6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Discussionmentioning

confidence: 99%

“…McCook et al first applied PTA successfully for systemic hypertension due to right RAS in a 3.5-y-old girl (6). From the English literature, a total of 6 young children`2-y-old were treated by PTA for their RAS (7)(8)(9)(10)(11). Two (1.4-y-old and 22-mo-old) of them had been successfully treated by PTA (7,8).…”

Section: Discussionmentioning

confidence: 99%

“…Captopril-enhanced renal scan has a high sensitivity and specificity for the diagnosis of renovascular hypertension (5), but from the diagnostic and therapeutic viewpoints, angiography is conclusive as well as informative for both the final diagnosis and preangioplastic evaluation of the RAS, to which percutaneous transluminal angioplasty (PTA) can be performed accordingly. We report the successful clinical application of PTA for RAS in the youngest pediatric patient in the English literature (6)(7)(8)(9)(10)(11)(12)(13).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous transluminal angioplasty of renal artery stenosis in a 9‐month‐old hypertensive girl with congestive heart failure

et al. 1999

Acta Paediatrica

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Percutaneous transluminal angioplasty for renovascular hypertension in children

1987

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Percutaneous transluminal angioplasty (PTA) has been developed over the past 8 years as an alternative to reconstructive surgery for renovascular hypertension. We report three cases and review the use of PTA in children with renal artery stenosis. At least 37 cases of PTA have been reported in patients whose ages ranged from 1.3 to 17 years (mean 10 years). Of these, 10 had fibromuscular dysplasia; 13 unspecified unilateral renal artery stenosis; 4 bilateral stenosis; 4 neurofibromatosis; 4 renal transplant; 1 atherosclerosis; and 1 postsurgical stenosis. Nine of 10 patients with fibromuscular dysplasia were cured and 3 of 4 with renal transplant arterial stenosis were cured or improved. There were 11 failures of PTA, including all 4 patients with neurofibromatosis and 1 with transplant arterial stenosis. We conclude that PTA is the treatment of choice for children with hypertension due to fibromuscular dysplasia and should be attempted for stenosis of the transplanted renal artery. Other lesions resulting in renal artery stenosis may not be as amenable to dilation and should be considered on an individual basis.

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Percutaneous transluminal dilatation for renal artery stenosis in a 22-month-old hypertensive girl

Cited by 10 publications

References 0 publications

Fibromuscular dysplasia of the renal artery in a child: detection by Doppler ultrasound and correction by percutaneous transluminal angioplasty

Fibromuscular dysplasia of the renal artery in a child: detection by Doppler ultrasound and correction by percutaneous transluminal angioplasty

Percutaneous transluminal angioplasty of renal artery stenosis in a 9‐month‐old hypertensive girl with congestive heart failure

Percutaneous transluminal angioplasty for renovascular hypertension in children

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