1. Treatment of Refractory Hypertension with Timely Angioplasty in Total Renal Artery Occlusion with Atrophic Kidney
- Author
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Takehiro Suzuki, Hideki Ota, Kei Takase, Hideo Harigae, Takaaki Abe, Mariko Miyazaki, Sadayoshi Ito, Kazumasa Seiji, Takafumi Toyohara, Yuri Sasaki, Eikan Mishima, and Koichi Kikuchi
- Subjects
Male ,medicine.medical_specialty ,renovascular hypertension ,medicine.medical_treatment ,Case Report ,030204 cardiovascular system & hematology ,atherosclerotic renovascular disease ,Kidney ,Renal Artery Obstruction ,Renal artery stenosis ,Renovascular hypertension ,03 medical and health sciences ,Renal Artery ,0302 clinical medicine ,Refractory ,medicine.artery ,Angioplasty ,Internal medicine ,Occlusion ,Internal Medicine ,medicine ,Humans ,Renal artery ,renal artery stenosis ,business.industry ,renin-angiotensin system inhibitors ,General Medicine ,Middle Aged ,medicine.disease ,diffusion-weighted MRI ,Hypertension, Renovascular ,medicine.anatomical_structure ,Hypertension ,Cardiology ,030211 gastroenterology & hepatology ,business ,Perfusion ,Angioplasty, Balloon - Abstract
Angioplasty for cases of chronic total occlusion of renal artery with/without atrophic kidney is generally not recommended. We herein report a 57-year-old man who presented with renin-mediated refractory hypertension caused by occlusion of a unilateral renal artery leading to kidney atrophy (length: 69 mm). Angioplasty favorably achieved blood pressure control with normalized renin secretion and enlargement of the atrophic kidney to 85 mm. Timely angioplasty can be beneficial in select patients, even with an atrophic kidney and total occlusion, especially in cases with deterioration of hypertension within six months and the presence of collateral perfusion to the affected kidney.
- Published
- 2021