Partial renal embolization for pediatric renovascular hypertension secondary to fibromuscular dysplasia.
We report a 7-year-old boy with renovascular hypertension showing multiple stenoses and microaneurysms of the dorsal branch of the left renal artery caused by fibromuscular dysplasia. Hypertension was successfully treated with transcatheter alcohol and gelatin sponge embolization of the dorsal branch and its distribution. The vertebral branch remained intact. No severe complication was encountered. Loss of renal function by renal scintigraphy was minimal. The patient remains asymptomatic at 1 year.
Ishijima
H
H
Department of Diagnostic Radiology, Gunma University Hospital, 3-39-15 Showa-machi, Maebashi 371, Japan.
Ishizaka
H
H
Sakurai
M
M
Ito
K
K
Endo
K
K
D002648:Child; D004621:Embolization, Therapeutic; D005352:Fibromuscular Dysplasia / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D011859:Radiography; D011866:Radioisotope Renography; D019275:Radiopharmaceuticals; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D017263:Technetium Tc 99m Mertiatide
D019275:Radiopharmaceuticals; D017263:Technetium Tc 99m Mertiatide