PEDIATRICS Vol. 69 No. 4 April 1982, pp. 489-491
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Transluminal Arterial Dilation of a Postsurgical Stenosis of Renal Artery Implant in a Child with Recurrent Hypertension

Kenneth K. Goertz MD1, Michael A. Linshaw MD1, Kyo R. Lee MD1, Arlo Hermreck MD1, Leone Mattioli MD1, and Michael D. Bailie MD, PhD1

1 Section of Pediatric Cardiology and Nephrology, Departments of Pediatrics, Radiology, and Surgery, University of Kansas Medical Center, Kansas City

Renal artery stenosis accounts for 12% of secondary causes of hypertension1 and must be considered in the evaluation of a child with sustained hypertension. The surgical treatment for renal artery stenosis is preferably renovascular reconstruction or partial or complete nephrectomy if the former procedure is not possible.2 In recent years, percutaneous angioplasty has been performed in adult patients with renal artery stenosis with encouraging results.3,4 However, there has been little experience with this procedure in pediatric patients. This report describes the successful use of this technique in a 4frac12-year-old boy with recurrent hypertension following renal artery reconstruction for unilateral stenosis.


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[Abstract] [PDF]