Percutaneous transluminal angioplasty: the treatment of choice for renovascular hypertension due to fibromuscular dysplasia.

Abstract:

:Twenty-three renal artery stenoses in 21 hypertensive patients, caused by fibromuscular dysplasia, were treated with percutaneous transluminal angioplasty (PTA). Follow-up over a period of 1 to 30 months, including angiography, renal vein renin assay, and radionuclide flow studies, was performed in 8 patients, each with one stenosis. Dilatation was initially successful in all cases and was successfully repeated in 1 case. The mean systolic pressure decreased by 61.81 mm Hg and the mean diastolic pressure by 36.28 mm Hg in response to treatment. Thirteen patients were cured, 8 were felt to have better control of blood pressure on medication, and there was no failures. This study demonstrates that PTA is a clinically effective method of treating renovascular hypertension due to fibromuscular dysplasia.

journal_name

Radiology

journal_title

Radiology

authors

Tegtmeyer CJ,Elson J,Glass TA,Ayers CR,Chevalier RL,Wellons HA Jr,Studdard WE Jr

doi

10.1148/radiology.143.3.6210930

subject

Has Abstract

pub_date

1982-06-01 00:00:00

pages

631-7

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

143

pub_type

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