Abstract
Ectopic kidney and inherent vascular abnormalities may result in renovascular hypertension. The case we report is peculiar as a left ectopic iliac kidney supplied by a superior and an inferior polar renal arteries was detected in a treatment-resistant hypertensive man. In conclusion, percutaneous renal artery denervation was successfully performed in the right renal artery and in both left accessory renal arteries, obtaining excellent blood pressure decrease at follow-up.
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Abbreviations
- CT:
-
Computed tomography
- RF:
-
Radiofrequency
- RDN:
-
Renal denervation
- BP:
-
Blood pressure
References
Sadler TW. Urogenital system. In: Sadler TW, editor. Langman’s medical embryology. 6th ed. Baltimore: William and Wilkins; 1990. p. 266–281. ISBN 9781451113426.
Campbell MF, Wein AJ, Kavoussi LR. Campbell–Walsh urology. 9th ed. Philadelphia: Saunders Elsevier; 2007. p. 3279. ISBN 978-0-7216-0798-6.
Cocheteux B, Mounier-Vehier C, Gaxotte V, McFadden EP, Francke JP, Beregi JP. Rare variations in renal anatomy and blood supply: CT appearances and embryological background. Eur Radiol. 2001;11(5):779–86.
Cinman NM, Okeke Z, Smith AD. Pelvic kidney: associated diseases and treatment. J Endourol. 2007;21(8):836–42.
Glodny B, Cromme S, Wortler K, Winde G. A possible explanation for the frequent concomitance of arterial hypertension and multiple renal arteries. Med Hypotheses. 2001;56(2):129–33.
Glodny B, Cromme S, Reimer P, Lennarz M, Winde G, Vetter H. Hypertension associated with multiple renal arteries may be renin-dependent. J Hypertens. 2000;18(10):1437–44.
Bude RO, Forauer AR, Caolli EM, Nghiem HV. Is it necessary to study accessory arteries when screening the renal arteries for renovascular hypertension? Radiology. 2003;226(2):411–6.
Esler MD, Krum H, Sobotka PA, Schlaich MP, Schmieder RE, Böhm M. Renal sympathetic denervation in patients with treatment-resistant hypertension (the Symplicity HTN-2 trial): a randomized controlled trial. Lancet. 2010;376:1903–9.
Vaclavik J, Taborsky M, Richter D. Unilateral catheter-based renal sympathetic denervation in resistant arterial hypertension shows no blood pressure-lowering effect. Clin Exp Hypertens. 2013;35:192–4.
Id D, Kaltenbach B, Bertog SC, Hornung M, Hofmann I, Vaskelyte L, Sievert H. Does the presence of accessory renal arteries affect the efficacy of renal denervation? JACC Cardiovasc Interv. 2013;6(10):1085–91.
Balas P, Kosmidis J, Polizos J. Hypertension due to ectopic pelvic kidney. Treatment by nephrectomy. Int Surg. 1971;56(3):145–8.
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Trabattoni, D., Teruzzi, G., Cia, A.D. et al. Renal denervation in a patient with unilateral ectopic kidney in the pelvis and refractory hypertension. Cardiovasc Interv and Ther 32, 259–262 (2017). https://doi.org/10.1007/s12928-016-0405-1
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DOI: https://doi.org/10.1007/s12928-016-0405-1