Abstract
Percutaneous transluminal dilatation of a right sided fibrous renal artery stenosis was performed in a 5-year-old boy with severe hypertension. Biochemical and hemodynamic activity of the renal artery stenosis was demonstrated by measurement of renal venous renin concentration and of pre- and poststenotic blood pressure. Hypertension disappeared within 3 weeks and the renin values became normal. The method is less traumatic than operative revascularization and may be an alternative procedure to vascular surgery in the treatment of renovascular hypertension in childhood.
References
Cook GT, Marshal VF, Todd JE (1966) Malignant renovascular hypertension. J Urol 96:863
Coran AG, Schuster SR (1968) Renovascular hypertension in childhood. Surgery 64:72
Chrispin AR, Scatliff JH (1973) Systemic hypertension in childhood. Pediatr Radiol 1:75
Ekulund L, Gerlock J, Molin J, Smith C (1978) Roentgenologic appearance of fibromuscular dysplasia. Acta Radiol [Diagn] (Stockh) 19:433
Foster JH, Pettinger WA, Otis JA, Rhamy RK, Klatte EC, Burko HC (1966) Malignant hypertension secondary to renal artery stenosis in children. Ann Surg 164:700
Gill DG, Mendes da Costa B, Cameron JS, Joseph MC, Ogg CS, Chantler C (1976) Analysis of 100 children with severe and persistent hypertension. Arch Dis Child 51:951
Grüntzig A, Kuhlmann U, Vetter W, Lütolf U, Meier B, Siegenthaler W (1978) Treatment of renovascular hypertension with percutaneous transluminal angioplasty of renalartery stenosis. Lancet I:801
Harrison EJ, Hunt JC, Bernatz PE (1967) Morphology of fibromuscular dysplasia of the renal artery in renovascular hypertension. Am J Med 43:97
Kuhlmann U, Grüntzig A, Vetter W, Lütolf U, Meier B, Siegenthaler W (1978) Percutaneous transluminal dilatation: a new treatment of renovascular hypertension? Klin Wochenschr 56:703
Lawson JD, Boerth R, Foster JH, Dean DH (1977) Diagnosis and management of renovascular hypertension in children. Arch Surg 112:1307
Makker SP, Lubahn JD (1975) Clinical features of renovascular hypertension in infancy: report of a 9-month-old-infant. Pediatrics 56:108
Makker SP, Moorthy B (1979) Fibromuscular dysplasia of renal arteries: an important cause of renovascular hypertension in children. J Pediatr 95:940
Mathias K, Rau W, Kauffmann G (1979) Katheterdilatation einer Arterienstenose nach Nierentransplantation. Dtsch Med Wochenschr 104:437
Mathias K, Billmann P, Liebig R, Kröpelin T, Thierfelder K (1980) Behandlung der renovaskulären Hypertonie mit der Katheterdilatation. Radiologe 20:494
Sheps SG, Kincaid OW, Hunt JC (1972) Serial renal function and angiographic observations in idiopathic fibrous and fibromuscular stenoses of renal arteries. Am J Cardiol 30:55
Still JL, Cottom D (1967) Severe hypertension in childhood. Arch Dis Child 42:34
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mathias, K., Struck, E., Schindera, F. et al. Percutaneous treatment of renovascular hypertension. Pediatr Radiol 11, 154–156 (1981). https://doi.org/10.1007/BF00971819
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00971819