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Failure and Success of Percutaneous Angioplasty in a Hypertensive Child with Bilateral Renal Artery Stenosis

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Abstract

We describe the clinical course of a 5-year-old girl with severe arterial hypertension that was uncontrollable with antihypertensive medication. Renal angiography revealed bilateral renal artery stenoses. Because percutaneous transluminal renal angioplasty (PTRA) failed to dilate the stenotic lesions, a renal artery bypass grafting in both renal arteries was performed. The patient remained normotensive for 7 months, and after that the arterial pressure increased again. Digital subtraction angiography demonstrated stenosis at the peripheral and central anastomosis of the vein graft that was used for revascularization of the left kidney. PTRA was decided on and successful patency was achieved. The patient has now been normotensive for a period of 5 years.

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Authors and Affiliations

  1. Department of Radiology, AHEPA Hospital, Aristotle University of Thessaloniki, 1 Kiriakidis Street, Thessaloniki, Greece

    Constantinos Giavroglou & Ioannis Tsifountoudis

  2. 23 Pontou Street, Thessaloniki, 55133, Greece

    Ioannis Tsifountoudis

  3. Second Pediatric Clinic, AHEPA Hospital, Aristotle University of Thessaloniki, 1 Kiriakidis Street, Thessaloniki, Greece

    Theodoros Boutzetis

  4. First Surgery Clinic, AHEPA Hospital, Aristotle University of Thessaloniki, 1 Kiriakidis Street, Thessaloniki, Greece

    Dimitrios Kiskinis

Authors
  1. Constantinos Giavroglou
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  2. Ioannis Tsifountoudis
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  3. Theodoros Boutzetis
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  4. Dimitrios Kiskinis
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Correspondence to Ioannis Tsifountoudis.

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Giavroglou, C., Tsifountoudis, I., Boutzetis, T. et al. Failure and Success of Percutaneous Angioplasty in a Hypertensive Child with Bilateral Renal Artery Stenosis. Cardiovasc Intervent Radiol 32, 150–154 (2009). https://doi.org/10.1007/s00270-008-9350-4

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  • DOI: https://doi.org/10.1007/s00270-008-9350-4

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