PERCUTANEOUS TRANSLUMINAL RENAL ANGIOPLASTY IN NEUROFIBROMATOSIS

被引：9

作者：

FOSSALI, E ^{[1
]}

MINOJA, M ^{[1
]}

INTERMITE, R ^{[1
]}

SPREAFICO, C ^{[1
]}

CASALINI, E ^{[1
]}

SERENI, F ^{[1
]}

机构：

[1] UNIV MILAN,PEDIAT CLIN 2,MILAN,ITALY

来源：

PEDIATRIC NEPHROLOGY | 1995年 / 9卷 / 05期

关键词：

NEUROFIBROMATOSIS; RENAL ARTERY STENOSIS; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY;

D O I：

10.1007/BF00860959

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

A 9-year-old boy with hypertension was found to have neurofibromatosis associated with stenosis of the right renal artery. Percutaneous transluminal angioplasty (PTA) was performed. Immediately post angioplasty angiography showed that the stenosis persisted, but over the next few days his blood pressure rapidly decreased and remained well controlled even when treatment was discontinued. The captopril stimulation test, performed after PTA, confirmed the return of plasma renin activity to normal values. A digital subtraction aortogram, performed 2.5 years after PTA, was unchanged. His blood pressure remained persistently normal, without anti-hypertensive agents. Based on these results, PTA is suggested as the first step in correcting renal artery stenosis due to neurofibromatosis. A complete anatomical resolution of the stenosis is probably not required since slight improvements in the renal artery lumen may be accompanied by important functional improvement.

引用

页码：623 / 625

页数：3

共 10 条

[1]

Reubi F., Neurofibromatose et lesions vasculaires, Schweiz Med Wochenschr, 75, pp. 463-465, (1945)

[2]

Feyter F., Über die vasculare Neurofibromatose, nach Untersuchungen am menschlichen Magen-Darm-Schlauch, Virchows Arch A Pathol Anat, 317, pp. 221-265, (1949)

[3]

Tilford D.L., Kelsch R.C., Renal artery stenosis in childhood neurofibromatosis, Am J Dis Child, 126, pp. 665-668, (1973)

[4]

Flynn M.P., Buchaman J.B., Neurofibromatosis, hypertension and renal artery aneurysm, South Med J, 73, pp. 618-626, (1980)

[5]

Guzzetta P.C., Potter B.M., Kapur S., Rubey E.J., Randolph J., Reconstruction of the renal artery after unsuccessful percutaneous transluminal angioplasty in children, Am J Surg, 145, pp. 647-651, (1983)

[6]

Millan V.G., McCauley J., Kopelman R.I., Madias N.E., Percutaneous transluminal renal angioplasty in nonatherosclerotic renovascular hypertension: long-term results, Hypertension, 7, pp. 668-674, (1985)

[7]

Neurofibromatosis. Conference statement, Arch Neurol, 45, pp. 575-578, (1988)

[8]

Stanley J.C., Renal vascular disease and renovascular hypertension in children, Urol Clin North Am, 11, pp. 451-463, (1984)

[9]

Deal V.E., Snell M.F., Barrat T.M., Dillon M.J., Renovascular disease in childhood, J Pediatr, 121, pp. 378-384, (1992)

[10]

Robinson L., Gedrovc W., Reidy J., Saxton H.M., Renal artery stenosis in children, Clin Radiol, 44, pp. 376-382, (1991)

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