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Pediatric Nephrology

, Volume 1, Issue 1, pp 89–98 | Cite as

Percutaneous transluminal angioplasty for renovascular hypertension in children

  • Robert L. Chevalier
  • Charles J. Tegtmeyer
  • R. Ariel Gomez
Invited Reviews

Abstract

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.

Key words

Angioplasty Renal artery stenosis Renovascular hypertension Fibromuscular dysplasia Balloon dilatation 

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Copyright information

© IPNA 1987

Authors and Affiliations

  • Robert L. Chevalier
    • 1
  • Charles J. Tegtmeyer
    • 1
  • R. Ariel Gomez
    • 1
  1. 1.Departments of Pediatrics and RadiologyUniversity of Virginia, School of MedicineCharlottesvilleUSA

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