title: Treatment of hypertension from renal artery entrapment by percutaneous CT-guided botulinum toxin injection into diaphragmatic crus as alternative to surgery and stenting.
abstract: OBJECTIVE
  Our objective was to describe the technique and outcome of CT-guided injection of botulinum toxin into the diaphragmatic crus in a patient with hypertension caused by left diaphragmatic crus compression of the left renal artery.
  
  
  CONCLUSIONS
  After the procedure, the patient's hypertension disappeared. We propose this technique, which directly targets inhibition of overactivity of the diaphragmatic crus, for treatment of hypertension caused by diaphragmatic compression of the renal artery as an alternative to surgery and renal artery stenting.
authors: Department of Radiology, Dicle University, 21280, Diyarbakir, Turkey. aslan@dicle.edu.tr
authors: Aslan
authors: A
authors: Bilici
authors: Musturay
authors: M
authors: Karcaaltincaba
authors: Ahmet Turan
authors: AT
authors: Ilica
authors: Yasar
authors: Y
authors: Bukte
authors: Ayhan
authors: A
authors: Senol
mesh_terms: D000328:Adult; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D007273:Injections, Intramuscular / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods*; D012078:Renal Artery Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014463:Ultrasonography
chemical_list: D019274:Botulinum Toxins, Type A