J Korean Radiol Soc.  1984 Jun;20(2):280-285. 10.3348/jkrs.1984.20.2.280.

Percutaneous transluminal angioplasty in renal artery stenosis by Takayasu's arteritis

• Zeon SK
• Kim OB
• Kim HC

• KMID: 2463045
• DOI: http://doi.org/10.3348/jkrs.1984.20.2.280

Abstract

Authors want to report that PTA was an out-standing therapeutic method in treatment of renovascular hypertension by renal artery stenosis due to Takaysu's arteritis in an 18-years-old Korean female. Abdominal aortogram and bilateral renal arteriogram showed mild smooth narrowing of the mid abdominal aorta of 4cm length from origin of renal arteries, complete occlusion of left renal artery from it's origin with a few small collateral arteries and severe stenosis of proximal right renal artery. PTA of right renal artery was performed with Gruntzign Balloon dialtation catheter, and the patient's blood pressure was down to 120/80 from 220/130,stable for 8 months follow-up examination. Takayasu's arteritis is one of the msot important cause of renovascular hypertension in Orenals. Multiple treatement modalities, such as steroid administration or variable surgical intervention, were attempted and limited response was presented. But PTA is a simple, cost-effective, repeated,and relatively complicaiton-free method in treatment of renovascular hypertension due ot Takayasu's arteritis, with an outstanding result, as authors case.

MeSH Terms

Angioplasty*
Aorta, Abdominal
Arteries
Arteritis
Blood Pressure
Catheters
Constriction, Pathologic
Female
Follow-Up Studies
Humans
Hypertension, Renovascular
Methods
Renal Artery Obstruction*
Renal Artery*
Takayasu Arteritis*