Treatment of Refractory Hypertension with Timely Angioplasty in Total Renal Artery Occlusion with Atrophic Kidney

Yuri Sasaki, Eikan Mishima, Koichi Kikuchi, Takafumi Toyohara, Takehiro Suzuki, Hideki Ota, Kazumasa Seiji, Mariko Miyazaki, Hideo Harigae, Sadayoshi Ito, Kei Takase, Takaaki Abe

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)287-292
Number of pages6
JournalInternal Medicine
Volume60
Issue number2
DOIs
Publication statusPublished - 2021 Jan 15

Keywords

  • Atherosclerotic renovascular disease
  • Diffusion-weighted MRI
  • Renal artery stenosis
  • Renin-angiotensin system inhibitors
  • Renovascular hypertension

ASJC Scopus subject areas

  • Internal Medicine

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