Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review
Difficulty and importance of diagnosing stenosis of renal branch artery in fibromuscular dysplasia : a case report. / Skræddergaard, Andreas; Nyvad, Jakob; Christensen, Kent Lodberg et al.
In: Blood Pressure, Vol. 30, No. 6, 12.2021, p. 416-420.Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review
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TY - JOUR
T1 - Difficulty and importance of diagnosing stenosis of renal branch artery in fibromuscular dysplasia
T2 - a case report
AU - Skræddergaard, Andreas
AU - Nyvad, Jakob
AU - Christensen, Kent Lodberg
AU - Hørlyck, Arne
AU - Mohit Mafi, Hossein
AU - Reinhard, Mark
PY - 2021/12
Y1 - 2021/12
N2 - A 16-year-old patient presented with abdominal pain and sustained hypertension. Thorough evaluation including renography with and without captopril and renal vein renin sampling were normal. Duplex ultrasound, however, raised suspicion of a renal artery stenosis. This was confirmed by computed tomography angiography which showed a severe branch artery stenosis with post-stenotic dilatation consistent with focal fibromuscular dysplasia (FMD). As the hypertension was resistant to 3 classes of antihypertensive treatment, percutaneous transluminal renal angioplasty (PTRA) was offered. The procedure had immediate effect on the blood pressure. Without medication the patient remains normotensive 4 years after and the abdominal pain has only sporadically returned. The presented case illustrates the challenging process of diagnosing FMD-related renal branch artery stenosis as well as the potential benefits of PTRA in this patient group.
AB - A 16-year-old patient presented with abdominal pain and sustained hypertension. Thorough evaluation including renography with and without captopril and renal vein renin sampling were normal. Duplex ultrasound, however, raised suspicion of a renal artery stenosis. This was confirmed by computed tomography angiography which showed a severe branch artery stenosis with post-stenotic dilatation consistent with focal fibromuscular dysplasia (FMD). As the hypertension was resistant to 3 classes of antihypertensive treatment, percutaneous transluminal renal angioplasty (PTRA) was offered. The procedure had immediate effect on the blood pressure. Without medication the patient remains normotensive 4 years after and the abdominal pain has only sporadically returned. The presented case illustrates the challenging process of diagnosing FMD-related renal branch artery stenosis as well as the potential benefits of PTRA in this patient group.
U2 - 10.1080/08037051.2021.1993735
DO - 10.1080/08037051.2021.1993735
M3 - Journal article
C2 - 34697979
VL - 30
SP - 416
EP - 420
JO - Blood Pressure
JF - Blood Pressure
SN - 0803-7051
IS - 6
ER -