Angioplasty for pediatric renovascular hypertension: a 13-year experience
| Autor: | Yong-Quan Gu, Bing Chen, Zhong-gao Wang, Fu-liang He, Zhi-Wei Hu, Wei-Tao Liang, Heng-xi Yu, Guang-Chang Zhu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Adolescent medicine.medical_treatment Blood Pressure Fibromuscular dysplasia Renal artery stenosis Renal Artery Obstruction Renovascular hypertension Restenosis Angioplasty Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Longitudinal Studies Child Pediatric Radiology Antihypertensive Agents Retrospective Studies business.industry medicine.disease Radiography Stenosis Blood pressure Hypertension Renovascular Treatment Outcome Child Preschool Cardiology Female Kidney Diseases Cardiology and Cardiovascular Medicine business Angioplasty Balloon |
| Popis: | PURPOSE We aimed to evaluate the long-term outcome and efficacy of percutaneous transluminal renal angioplasty (PTRA) for pediatric renal artery stenosis (RAS), which is an important cause of medication-refractory pediatric hypertension. MATERIALS AND METHODS We retrospectively evaluated 22 hypertensive children (age range, 3-17 years) who underwent PTRA from February 2000 to July 2012. Sixteen patients had Takayasu arteritis and six fibromuscular dysplasia. Five were not included in the statistical analysis due to loss to follow-up. RESULTS Technical success was achieved in 32 of 34 procedures (94.1%). The stenosis rate decreased from 84.5% before PTRA to 20.1% after PTRA. Treatment was effective in 72.7% (16/22) of patients, including complete cure in 27.3% (6/22) and improvement in 45.5% (10/22). Systolic and diastolic blood pressures decreased from 153 ± 19.1 to 131.7 ± 21.4 mmHg and from 97.9 ± 14.2 to 83.6 ± 19.3 mmHg, respectively (P |
| Databáze: | OpenAIRE |
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