Korean Circ J.  2010 Aug;40(8):414-417. 10.4070/kcj.2010.40.8.414.

Successful Percutaneous Renal Artery Angioplasty and Stenting for Acute Oliguric Renal Failure in a Solitary Functioning Kidney Caused by Takayasu's Arteritis

• Yoo SH
• Kim GH
• Lee WI
• Kwon SK
• Lee SY
• Bae JW
• Hwang KK
• Kim DW
• Cho MC

• KMID: 2145535
• DOI: http://doi.org/10.4070/kcj.2010.40.8.414

Abstract

Takayasu's arteritis (TA) is a nonspecific, chronic and stenotic panarteritis which usually involves the aorta and its major branches. Corticosteroid and immunosuppressants are recommended to manage the acute inflammatory phase, but their long term benefits are uncertain. Blood pressure (BP) control during the chronic phase of TA is essential to preserve renal function, which is associated with the patient's long-term prognosis and survival. Revascularization in organ damaging arterial stenosis with percutaneous angioplasty (PTA)/stenting or bypass surgery have been accepted as established treatment options in chronic complicated phase of TA. We present a case of a 31-year-old female patient with a two-day history of sudden onset oliguria and generalized edema whose acute oliguric renal failure was successfully reversed following PTA and stenting in a solitary functioning kidney with critical renal artery stenosis (RAS) caused by TA.

Keyword

Angioplasty; Acute renal failure; Renal artery stenosis; Takayasu arteritis

MeSH Terms

Acute Kidney Injury
Adult
Angioplasty
Aorta
Blood Pressure
Constriction, Pathologic
Edema
Female
Humans
Immunosuppressive Agents
Kidney
Oliguria
Prognosis
Renal Artery
Renal Artery Obstruction
Renal Insufficiency
Stents
Takayasu Arteritis
Immunosuppressive Agents

Figure

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  Fig. 1 Left kidney was not enhanced due to chronic complete occlusion of the left RA. Severe stenosis of right RA was treated with PTA and stenting under the "no-touch technique". A: left RA was totally occluded and the kidney was not enhanced. Near complete occlusion of right RA was visualized on abdominopelvic CT. B: severe stenosis of right RA was confirmed by renal angiography. C: PTA was performed to right RA under the "no-touch" technique. D: the lesion was successfully dilated after stent implantation without complications (arrows indicate critical right RA stenosis in abdominopelvic CT and renal angiography). RA: renal artery, CT: computed tomography, PTA: percutaneous angioplasty.

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