Renovascular Hypertension Treated by Renal Artery Embolization.
10.3349/ymj.2014.55.1.273
- Author:
Jeong Ju LEE
1
;
Ki Soo PAI
;
Jae Il SHIN
;
Se Jin PARK
Author Information
1. Department of Pediatrics, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea. fli018@hanmail.net
- Publication Type:Case Reports
- Keywords:
Renovascular hypertension;
renal artery embolization;
children
- MeSH:
Child;
Embolization, Therapeutic/*methods;
Humans;
Hypertension, Renovascular/*therapy;
Male;
Renal Artery
- From:Yonsei Medical Journal
2014;55(1):273-275
- CountryRepublic of Korea
- Language:English
-
Abstract:
Renovascular hypertension is caused by narrowing of the arteries supplying the kidneys. There are several methods to treat renal artery stenosis, such as medications, percutaneous transluminal renal angioplasty, and atherosclerosis. A boy presented to our hospital with severe hypertension. Computed tomography angiogram revealed severe narrowing of the left renal artery and hypoplastic left kidney. Total renal artery embolizaton was performed to make a complete occlusion of the left renal artery. Follow-up renin and aldosterone levels were gradually decreased. The main advantage of renal artery embolization is that it is minimally invasive compared with extensive surgical procedures. Therefore, renal artery embolization should be considered as an alternative to surgical nephrectomy in pediatric patients with renovascular hypertension.