Successful stenting for renal artery stenosis in a patient with Alagille syndrome

A 12-year-old girl with Alagille syndrome manifested severe hypertension caused by renal artery stenosis in a solitary functioning kidney. Percutaneous transluminal angioplasty (PTA) and stenting was performed, but the hypertension persisted. On the next day, acute renal failure occurred with the ad...

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Bibliographic Details
Published in:Pediatric nephrology (Berlin, West) West), 2005-06, Vol.20 (6), p.831-833
Main Authors: Hirai, Haruhiko, Santo, Yoko, Kogaki, Shigetoyo, Kurotobi, Shunji, Etani, Yuri, Mushiake, Sotaro, Nakatsuchi, Yoshiaki, Nakajima, Shigeo, Ozono, Keiichi
Format: Article
Language:English
Subjects:
ACE inhibitors
Alagille syndrome
Alagille Syndrome - complications
Angiography
Angioplasty, Balloon, Coronary
Care and treatment
Case studies
Child
Complications and side effects
Female
Foreign-Body Migration - etiology
Foreign-Body Migration - therapy
Humans
Hypertension - etiology
Hypertension - physiopathology
Renal artery obstruction
Renal Artery Obstruction - diagnostic imaging
Renal Artery Obstruction - etiology
Renal Artery Obstruction - therapy
Renal hypertension
Retreatment
Severity of Illness Index
Stents - adverse effects
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Summary:A 12-year-old girl with Alagille syndrome manifested severe hypertension caused by renal artery stenosis in a solitary functioning kidney. Percutaneous transluminal angioplasty (PTA) and stenting was performed, but the hypertension persisted. On the next day, acute renal failure occurred with the administration of angiotensin-converting enzyme inhibitor, and migration of the stent was confirmed by angiography. Thus, a second stent was placed with success. Since then, the hypertension has been controlled with anti-hypertensive medication, and the renal function has recovered to normal range.
ISSN:0931-041X
1432-198X
DOI:10.1007/s00467-004-1774-8