Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy
BackgroundCurrent guidelines generally no longer support revascularization for chronic renal artery occlusive diseases because results from randomized controlled trials favor medical therapy over angioplasty. However, increasing reports indicate that patients with renal artery occlusion (RAO) can be...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.843568/full |
| _version_ | 1828143222723969024 |
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| author | Pengyu Li Guochen Niu Ziguang Yan Bihui Zhang Min Yang |
| author_facet | Pengyu Li Guochen Niu Ziguang Yan Bihui Zhang Min Yang |
| author_sort | Pengyu Li |
| collection | DOAJ |
| description | BackgroundCurrent guidelines generally no longer support revascularization for chronic renal artery occlusive diseases because results from randomized controlled trials favor medical therapy over angioplasty. However, increasing reports indicate that patients with renal artery occlusion (RAO) can benefit from revascularization under certain circumstances.Case summaryHere, we present a patient with renal artery stenosis (RAS) who does not have refractory hypertension or fit any clinical trial inclusion criteria by far. Medical therapy failed to prevent the progression of RAS in this patient, leading to total occlusion of his right renal artery. This patient had progressive renal insufficiency but recovered renal function after endovascular treatment.ConclusionThis case demonstrates that angioplasty can be beneficial in selected RAO patients, especially those with residual renal function and collateral perfusion. |
| first_indexed | 2024-04-11T19:52:30Z |
| format | Article |
| id | doaj.art-45f3030432554d30b8d2e1b555c6de32 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T19:52:30Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-45f3030432554d30b8d2e1b555c6de322022-12-22T04:06:15ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.843568843568Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical TherapyPengyu LiGuochen NiuZiguang YanBihui ZhangMin YangBackgroundCurrent guidelines generally no longer support revascularization for chronic renal artery occlusive diseases because results from randomized controlled trials favor medical therapy over angioplasty. However, increasing reports indicate that patients with renal artery occlusion (RAO) can benefit from revascularization under certain circumstances.Case summaryHere, we present a patient with renal artery stenosis (RAS) who does not have refractory hypertension or fit any clinical trial inclusion criteria by far. Medical therapy failed to prevent the progression of RAS in this patient, leading to total occlusion of his right renal artery. This patient had progressive renal insufficiency but recovered renal function after endovascular treatment.ConclusionThis case demonstrates that angioplasty can be beneficial in selected RAO patients, especially those with residual renal function and collateral perfusion.https://www.frontiersin.org/articles/10.3389/fsurg.2022.843568/fullrenal artery occlusion (RAO)endovascular treatmentmedical therapysplit renal functionblood pressure |
| spellingShingle | Pengyu Li Guochen Niu Ziguang Yan Bihui Zhang Min Yang Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy Frontiers in Surgery renal artery occlusion (RAO) endovascular treatment medical therapy split renal function blood pressure |
| title | Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy |
| title_full | Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy |
| title_fullStr | Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy |
| title_full_unstemmed | Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy |
| title_short | Case Report: Endovascular Treatment of Chronic Atherosclerotic Renal Artery Total Occlusions with Failed Medical Therapy |
| title_sort | case report endovascular treatment of chronic atherosclerotic renal artery total occlusions with failed medical therapy |
| topic | renal artery occlusion (RAO) endovascular treatment medical therapy split renal function blood pressure |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.843568/full |
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