Renovascular Hypertension

  • D. Bergqvist
  • M. Björck


A 58-year-old male smoker had had essential hypertension for about 15 years. It was well balanced with diuretics. He came for regular checks over the years. At such a check 3 months ago, his blood pressure was 195/110 mm Hg. With the addition of a beta-blocker and an angiotensin converting enzyme (ACE) inhibitor, it was possible to keep the pressure at around 180/100 mm Hg, thus it was not an optimal treatment result. Creatinine had increased over the last 3 months from 90 to 180–200 Rmol/l. The patient lived an active life and felt well.


Renal Artery Essential Hypertension Renal Artery Stenosis Renovascular Hypertension Atherosclerotic Renal Artery Stenosis 
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  1. 1.
    Berglund G, Andersson O, Wilhelmsson L. Prevalence of primary and secondary hypertension. BMJ 1976; 2: 554–6.PubMedCrossRefGoogle Scholar
  2. 2.
    Bergentz S-E, Bergqvist D, Weibull H. Changing concepts in renovascular surgery. Br J Surg 1989; 76: 429–30.PubMedCrossRefGoogle Scholar
  3. 3.
    Pohl MA. Renal artery stenosis, renal vascular hypertension and ischemic nephropathy. In: Schrier RW, Gottschalk CW, editors. Diseases of the kidney, 6th edn. Boston: Little, Brown, 1997; 1367–423.Google Scholar
  4. 4.
    Dustan HP, Humphries AW, De Wolf VG, Page IH. Normal arterial pressure in patients with renal arterial stenosis. JAMA 1964; 187: 1028–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Schwartz CJ, White TA. Stenosis of renal artery: an unselected necropsy study. BMJ 1964; 2: 1415–21.PubMedCrossRefGoogle Scholar
  6. 6.
    Missouris CG, Buckenham T, Cappucio FP, Mac Gregor GA. Renal artery stenosis: a common and important problem in patients with peripheral vascular disease. Am J Med 1994; 96: 10–14.Google Scholar
  7. 7.
    P, Thorvinger B, Pärsson H, Norgren L. Renal artery stenosis in patients with peripheral vascular disease and its correlation to hypertension. A retrospective study. Int Angiol 1992; 11: 195–9.Google Scholar
  8. 8.
    Holly JV, Chen C, Fire E. Diagnostic criteria of renovascular hypertension with captopril renography–a consensus statement. Am J Hypertens 1991; 4: 7495–525.Google Scholar
  9. 9.
    Hansen KJ, Tribble RW, Reavis SW. Renal duplex sonography: evaluation of clinical utility. Vasc Surg 1990; 12: 227–36.Google Scholar
  10. 10.
    Weibull H, Bergqvist D, Bergentz S-E. Percutaneous transluminal renal angioplasty versus surgical reconstruction of atherosclerotic renal artery stenosis: a prospective randomized study. J Vasc Surg 1993; 18: 841–50.PubMedCrossRefGoogle Scholar
  11. 11.
    Dorros G, Prince C, Mathiak L. Stenting of a renal artery stenosis achieves better relief of the obstructive lesion than balloon angioplasty. Catheter Cardiovasc Diagn 1993; 29: 191–8.CrossRefGoogle Scholar
  12. 12.
    Raynaud AC, Beyssen BM, Turmel-Rodriques LE. Renal artery stent placement: immediate and mid-term technical and clinical results. J Vasc Intervent Radiol 1994; 5: 849–58.CrossRefGoogle Scholar
  13. 13.
    Van de Ven PJ, Bentler JJ, Kaatee R. Transluminal vascular stent for ostial atherosclerotic renal artery stenosis. Lancet 1995; 346: 672–4.PubMedCrossRefGoogle Scholar
  14. 14.
    Bush R, Najibi S, Mac Donald J, Lin P, Chaikol E, Martin L, Lumsden A. Endovascular revascularization of renal artery stenosis: technical and clinical results. J Vasc Surg 2001; 33: 1041–9.Google Scholar
  15. 15.
    Slonim S, Dake M. Radiographic evaluation and treatment of renovascular disease. In: Rutherford R, editor. Vascular surgery, 5th edn. Philadelphia: WB Saunders, 2000; 1611–39.Google Scholar
  16. 16.
    Jensen G, Zackrisson BF, Delin K. Treatment of renovascular hypertension: one year results of renal angioplasty. Kidney Int 1995; 48: 1936–45.PubMedCrossRefGoogle Scholar
  17. 17.
    Tullis M, Zierker R, Glickerman D, Bergelin R, Cantwell-Gab K, Strandness E. Results of percutaneous transluminal angioplasty for atherosclerotic renal artery stenosis: a follow-up study with duplex ultrasonography. J Vasc Surg 1997; 25: 46–51.PubMedCrossRefGoogle Scholar

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© Springer-Verlag London 2003

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  • D. Bergqvist
  • M. Björck

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