Successful percutaneous transluminal angioplasty for the treatment of renovascular hypertension with an atrophic kidney
著者
丸山, 啓介
(Maruyama, Keisuke)
珍田, 純子
(Chinda, Junko)
鹿原, 真樹
(Kabara, Maki)
中川, 直樹
(Nakagawa, Naoki)
藤野, 貴行
(Fujino, Takayuki)
竹内, 利治
(Takeuchi, Toshiharu)
長谷部, 直幸
(Hasebe, Naoyuki)
上位タイトル
Heart and Vessels
Vol.30,
No.2
(2015.
3)
,p.274-
279
識別番号
ISSN
0910-8327
DOI
10.1007/s00380-013-0457-4
その他
PMID:24384893
抄録
Renovascular hypertension is an important cause of secondary hypertension. We present the case of a 61-year-old man with renovascular hypertension caused by chronic total occlusion of the left renal artery resulting in an atrophic kidney. Although renography indicated almost no residual function of the left kidney, renal vein sampling showed a significant increase of renin secretion in the left kidney. The endocrine function of the left kidney was believed to be preserved; thus, we performed percutaneous transluminal renal angioplasty with stent placement. After the procedure, the patient’s blood pressure decreased gradually to within the normal range without adverse events. The laboratory data on endocrine function and the renography findings drastically improved. Percutaneous transluminal renal angioplasty is a promising therapeutic procedure for renovascular hypertension with an atrophic kidney.
