A case of Delayed Renavascular Hypertension in Stab Injury Induced Renal Artery-IVC Fistula and Its Renal Artery Aneurysm.
- Author:
Jin Soo KIM
1
;
Byoung Geun HAN
;
Jae Kwon KIM
;
Eun Young LEE
;
Seung Ok CHOI
;
Young Ju KIM
;
Chul Hoe KOO
Author Information
1. Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. kidney77@wonju.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Renovascular hypertension;
Arterio-venous fistula;
Aneurysm
- MeSH:
Aneurysm*;
Aneurysm, False;
Angioplasty, Balloon;
Arteries;
Atherosclerosis;
Blood Pressure;
Constriction, Pathologic;
Diagnosis;
Embolism;
Fibromuscular Dysplasia;
Fistula*;
Foreign Bodies;
Hematoma;
Humans;
Hypertension*;
Hypertension, Renovascular;
Neurofibromatoses;
Outpatients;
Prevalence;
Renal Artery*;
Renal Insufficiency;
Young Adult
- From:Korean Journal of Nephrology
2000;19(1):138-142
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renovascular hypertension is the most common cause of curable hypertension. The exact prevalence of renovascular hypertension is not known, and the diagnosis is probably missed in many patients. It is important to recognize this condition in clinical practice, first, because it is a correctable form of secondary hypertension, and second, it is a reversible cause of renal failure in some patients. The Basic lesion of renovascular hypertension is stenosis of the renal artery caused usually by either one of the two most common etiologies, atherosclerosis or fibromuscular dysplasia. Other known causes of renovascular hypertension include aneurysm, embolism, arterio venous fistula, neurofibromatosis, tumor, hematoma, foreign body induced compression, and trauma. Its treatment can be divided into surgical intervention, percutaneous transluminal balloon angioplasty, and medical therapy. Recently, selective embolization has been introduced as a useful alter native therapeutic modality in the management of arterio venous fistula and aneurysm. We report a case of delayed renovascular hyper-tension in stab injury induced renal artery-IVC fistula and its renal artery aneurysm in a 20 year-old man. Embolization of the renal arterio venous fistula was achieved by inserting a detachable balloon, and embolization of the renal aneurysm and lumbar artery pseudoaneurysm was performed using micro-eo-ils. Arteriogram immediately after embolization con- firmed complete occlusion of the ancurysm and closure of the arterio venous fistula. After the procedure, improvement of blood pressure was noted in the patient who is currently being followed-up on an out-patient basis.
