Renal Artery Repair

Hansen, Kimberley J.; Deitch, Jonathan; Oskin, Timothy C.; Ligush, John; Craven, Timothy E.; Dean, Richard H.

doi:10.1097/00000658-199805000-00008

Cited by 34 publications

(1 citation statement)

References 16 publications

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“…In the case mentioned above, the patient remained dialysis-free for 17 mo, with a serum creatinine of 203 µmol/L. In a study that included 6 patients with FMD and required a secondary revascularization procedure after a failed primary procedure, all cases were dialysis-free after an average follow-up of 58 mo[ 21 ]; however, none of those patients were dialysis-dependent prior to surgery. The initial indication for revascularization in all cases was for BP control rather than improvement of kidney function.…”

Section: Discussionmentioning

confidence: 99%

Awakening the sleeping kidney in a dialysis-dependent patient with fibromuscular dysplasia: A case report and review of literature

Chothia¹,

Davids²,

Bhikoo³

2018

WJN

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Renal artery stenosis is a common cause of secondary hypertension and chronic kidney disease. We present here a case of fibromuscular dysplasia that was treated with surgical revascularization, resulting in recovery of kidney function with eventual cessation of chronic dialysis. The case involves a 25-year-old female with coincidentally discovered hypertension, who underwent further investigations revealing a diagnosis of renal artery stenosis due to fibromuscular dysplasia. She subsequently developed two episodes of malignant hypertension, with flash pulmonary oedema and worsening renal failure that resulted in dialysis dependence. After evidence was obtained that the right kidney was still viable, a revascularization procedure was performed, improving blood pressure control and restoring kidney function, thereby allowing dialysis to be stopped. This case highlights the importance of evaluating patients with renal artery stenosis for revascularization before committing them to a life of chronic dialysis.

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Section: Discussionmentioning

confidence: 99%