Successful management of a resistant renal artery stenosis in a child using a 4 mm cutting balloon catheter

被引:27
作者
Haas, NA
Ocker, V
Knirsch, W
Holder, M
Lochbuehler, H
Lewin, MAG
Uhlemann, F
机构
[1] Olga Hosp, Dept Pediat Cardiol & Pediat Intens Care, D-70176 Stuttgart, Germany
[2] Olga Hosp, Dept Pediat Nephrol, D-70176 Stuttgart, Germany
[3] Olga Hosp, Dept Pediat Surg, D-70176 Stuttgart, Germany
关键词
renal artery stenosis; angioplasty; cutting balloon; child;
D O I
10.1002/ccd.10171
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous transluminal renal angioplasty (PTRA) is a well-established method to treat renal artery stenosis (RAS) in children and adults. However, a significant number of stenoses might not be treated by interventional techniques due to the inability to dilate the RAS. Conventional balloon angioplasty with a high-pressure coronary angioplasty balloon at 20 atm was unable to dilate a significant RAS in a 12-year-old child with severe renovascular hypertension (RR 195/125 mm Hg). After using a 4 mm cutting balloon, we achieved wide patency of the renal artery and an instant normalization of blood pressure without further need of anti hypertensive therapy. PTRA using the cutting balloon technique may offer an additional therapeutic option for selected patients in whom conventional balloon angioplasty was not able to dilate RAS. (C) 2002 Wiley-Liss, Inc.
引用
收藏
页码:227 / 231
页数:5
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