RESUMO
Revascularization of renal artery stenosis for the treatment of hypertension is an established procedure. In selected clinical scenarios, successful revascularization procedures may preserve or restore renal function. We present a 66-year-old man with secundary hypertension and deteriorating renal function caused by bilateral atherosclerotic renal artery disease (complete obstruction of the left renal artery and subocclusive stenosis of the right) in which blood pressure was successfully controlled and renal function improved and maintained steady after bilateral percutaneus transluminal angioplasty and renal artery stenting.
Assuntos
Angioplastia com Balão , Obstrução da Artéria Renal/terapia , Stents , Idoso , Seguimentos , Humanos , Hipertensão Renovascular/etiologia , Masculino , Obstrução da Artéria Renal/complicações , Fatores de Tempo , Resultado do TratamentoRESUMO
La revascularización de la estenosis de la arteria renal para el tratamiento de la hipertensión es un procedimiento ya admitido. En escenarios clínicos seleccionados, el éxito del procedimiento de revascularización puede mantener o restaurar la función renal. Presentamos el caso clínico de un paciente varón de 66 años con hipertensión arterial secundaria y deterioro de función renal causada por arteriosclerosis bilateral de las arterias renal (obstrucción completa de la arteria renal izquierda y estenosis suboclusiva de la derecha) en el cual la presión arterial fue controlada con éxito y la función renal mejoró después de una angioplastia transluminal percutánea bilateral y colocación de sendos stents de arterias renales
Revascularization of renal artery stenosis for the treatment of hypertension is an established procedure. In selected clinical scenarios, successful revascularization procedures may preserve or restore renal function. We present a 66-year-old man with secundary hypertension and deteriorating renal function caused by bilateral atherosclerotic renal artery disease (complete obstruction of the left renal artery and subocclusive stenosis of the right) in which blood pressure was successfully controlled and renal function improved and maintained steady after bilateral percutaneus transluminal angioplasty and renal artery stenting
