Segmental Renal Artery Embolization for Treatment of Pediatric Renovascular Hypertension

Corey L. Teigen, Sally E. Mitchell, Anthony C. Venbrux, Marie J. Christenson, Robert H. McLean

Research output: Contribution to journalArticle

Abstract

Selective intrarenal arterial embolization was used to treat three children with documented renovascular hypertension. Embolization resulted in complete cure (ie, elimination of all antihypertensive medicines) in all three patients and caused only minimal loss of renal parenchyma. Renal vein renin sampling, including sampling after furosemide administration, correlated well with the location of identified vascular lesions and helped direct selective angiography when lesions were not found initially. Intrarenal arterial embolization is a safe, effective alternative to surgical resection in the treatment of renovascular hypertension in children who have identifiable intrarenal arterial lesions not amenable to balloon angioplasty.

Original languageEnglish (US)
Pages (from-to)111-117
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume3
Issue number1
DOIs
StatePublished - Jan 1 1992

Keywords

  • Arteries, therapeutic blockade, 961.1299
  • Children, genitourinary system, 81.72
  • DTPA
  • Hypertension, renovascular, 81.72
  • Renal arteries, stenosis or obstruction, 961.72
  • diethylenetriaminepentaacetic acid

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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