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Treatment of severe renal artery stenosis by percutaneous transluminal renal angioplasty and stent implantation

Review of the pediatric experience: apropos of two cases

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Abstract

The clinical course of two children with mid-aortic syndrome and renal artery stenosis (RAS) who suffered from severe arterial hypertension is described. Hypertension was uncontrollable by antihypertensive medication and was managed by percutaneous transluminal renal angioplasty (PTRA) with stent implantation. The pediatric experience with PTRA is limited, and there are only few cases reported with additional stent implantation. Complications of these procedures are well known from experience with adult patients. However, since surgical revascularization may be technically difficult especially in small children, PTRA with or without stenting should be considered as a valuable treatment option in pediatric RAS.

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Authors and Affiliations

  1. Department of Pediatric Nephrology, Charité University Hospital, Otto-Heubner-Centrum für Kinder- und Jugendmedizin, Augustenburger Platz 1, 13353, Berlin, Germany

    Kai König, Jutta Gellermann & Uwe Querfeld

  2. Asklepios Kinderklinik St. Augustin, Deutsches Kinderherzzentrum, Sankt Augustin, Germany

    Martin B. E. Schneider

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  1. Kai König
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  2. Jutta Gellermann
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  3. Uwe Querfeld
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  4. Martin B. E. Schneider
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Correspondence to Uwe Querfeld.

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König, K., Gellermann, J., Querfeld, U. et al. Treatment of severe renal artery stenosis by percutaneous transluminal renal angioplasty and stent implantation. Pediatr Nephrol 21, 663–671 (2006). https://doi.org/10.1007/s00467-006-0010-0

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  • DOI: https://doi.org/10.1007/s00467-006-0010-0

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