Open AccessRenal autotransplantation for the management of renal artery in-stent restenosis in an adult patient with Takayasu arteritis
Author(s) -
Rajesh Vijayvergiya,
Ashish Sharma,
Kewal Kanabar,
Bhupendra Kumar Sihag
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226236
Subject(s) - medicine , renovascular hypertension , renal artery , renal artery stenosis , takayasu's arteritis , restenosis , percutaneous , stent , arteritis , cardiology , secondary hypertension , surgery , radiology , kidney , vasculitis , blood pressure , disease
Renovascular hypertension is a common clinical presentation in Takayasu arteritis (TA), when the renal arteries are involved. Although most of the patients respond to optimal antihypertensive drug therapy, certain patients with TA require percutaneous or surgical renal artery revascularisation to manage renovascular hypertension. We, hereby, present a 45-year-old woman, who had resistant hypertension secondary to in-stent restenosis (ISR) of renal artery stent in a single functioning kidney. She had successful renal autotransplantation following a failed endovascular attempt to treat ISR. Endovascular and surgical interventions related to renal artery stenosis in TA are discussed in the article.