PMID: 20118597Feb 2, 2010Paper

Successful percutaneous revascularization in a patient with a chronic totally occluded renal artery in an atrophied kidney

Internal Medicine
Yoshiki NagataHiroyuki Iida

Abstract

A 57-year-old man presented with renovascular hypertension with chronic kidney disease. 16-Multi-detector row computed tomography (MDCT) showed that the left renal artery was totally occluded and the left kidney was atrophied. The left atrophied kidney was hormonally active despite the desolation of glomerular filtration function. Percutaneous renal revascularization was successful for stenting this lesion. The renin activity in the left renal vein was decreased immediately after the procedure. He remained healthy with adequate blood pressure for three years. In this case, MDCT and renal vein renin measurement provided useful information for the decision to perform percutaneous renal revascularization.

References

Jun 3, 2004·Circulation·Mark A CreagerUNKNOWN American Heart Association
Jun 3, 2004·Circulation·Michael A BettmannUNKNOWN American Heart Association
Sep 6, 2005·Journal of the American College of Cardiology·Krishna Rocha-SinghUNKNOWN ASPIRE-2 Trial Investigators
Jun 7, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Bassam AlchiFumitake Gejyo
Feb 2, 2008·Vascular and Endovascular Surgery·Mark C BatesMary A Riley
Aug 30, 2008·Journal of Vascular Surgery·Matthew A CorriereKimberley J Hansen

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