Interventions for Pediatric Renovascular Hypertension

  • Kevin E. Meyers
  • Anne Marie Cahill
  • Christine Sethna
Pediatric Hypertension (JT Flynn, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Pediatric Hypertension

Abstract

Renovascular disease is a cause of hypertension in 10 % to 15 % of prepubertal children. Interventions to address hypertension and causes of renovascular disease continue to advance. Successful interventions to treat renovascular disease include medical, angiographic, and surgical means, used alone or, more often, as combination therapy. Medical therapy is used to control the blood pressure prior to further intervention or in specific instances as long-term single therapy. Judicious use of percutaneous angioplasty and surgical intervention is usually successful in children with renal artery stenosis, although up to two-thirds of children will remain on antihypertensive medication after the procedure. Outcomes of combination therapy will continue to improve with advances in the use of antihypertensive medication in children, improvements in percutaneous angiography techniques, and progress in vascular surgical expertise.

Keywords

Renovascular Hypertension Renal artery stenosis Mid-aortic stenosis Percutaneous transluminal angiography Surgery Revascularization Autotransplant Nephrectomy 

References

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Kevin E. Meyers
    • 1
  • Anne Marie Cahill
    • 2
  • Christine Sethna
    • 3
  1. 1.Department of PediatricsThe Children’s Hospital of Philadelphia and University of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of RadiologyThe Children’s Hospital of Philadelphia and University of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of PediatricsCohen Children’s Medical Center of New YorkNew Hyde ParkUSA

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