Bilateral renal artery stenosis treated with drug-eluting balloon angioplasty in unique treatment

Daniele Morosetti, MD; Marcello Chiocchi, MD, PhD; Federica De Crescenzo, MD; Adolfo D'Onofrio, MD; Arezia Di Martino, MD; Armando Raso, MD; Roberto Floris, MD, PhD; Roberto Gandini, MD, PhD

Radiology Case Reports (Feb 2019)

Bilateral renal artery stenosis treated with drug-eluting balloon angioplasty in unique treatment

Daniele Morosetti, MD,
Marcello Chiocchi, MD, PhD,
Federica De Crescenzo, MD,
Adolfo D'Onofrio, MD,
Arezia Di Martino, MD,
Armando Raso, MD,
Roberto Floris, MD, PhD,
Roberto Gandini, MD, PhD

Affiliations

Daniele Morosetti, MD: Corresponding author.; Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Marcello Chiocchi, MD, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Federica De Crescenzo, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Adolfo D'Onofrio, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Arezia Di Martino, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Armando Raso, MD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Roberto Floris, MD, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy
Roberto Gandini, MD, PhD: Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy

Journal volume & issue: Vol. 14, no. 2
pp. 242 – 245

Abstract

Read online

Renal artery stenosis commonly manifests with hypertension refractory to medical treatment. We report a case of renal artery stenosis occurring in a 19-year-old female patient who presented with extremely high blood pressure and bilateral renal stenosis at the duplex ultrasound. Renal angiography confirmed the bilateral and irregular stenosis due to fibromuscular dysplasia, associated to extent collaterals suppling the poststenotic right renal artery. Therefore, angioplasty with drug-eluting balloon was performed in order to obtain a good vessel patency and to improve patency in the long term follow-up. After the endovascular treatment the blood pressure improved markedly, maintaining this result at 12 months follow-up at clinical examination and duplex ultrasound. Keywords: Bilateral renal artery stenosis, Fibromuscular dysplasia

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

About the journal