title: Successful percutaneous revascularization in a patient with a chronic totally occluded renal artery in an atrophied kidney.
abstract: A 57-year-old man presented with renovascular hypertension with chronic kidney disease. 16-Multi-detector row computed tomography (MDCT) showed that the left renal artery was totally occluded and the left kidney was atrophied. The left atrophied kidney was hormonally active despite the desolation of glomerular filtration function. Percutaneous renal revascularization was successful for stenting this lesion. The renin activity in the left renal vein was decreased immediately after the procedure. He remained healthy with adequate blood pressure for three years. In this case, MDCT and renal vein renin measurement provided useful information for the decision to perform percutaneous renal revascularization.
authors.affiliation: Department of Internal Medicine, Toyama Prefectural Central Hospital, Toyama. drnagata@nsknet.or.jp
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Nagata
authors.forename: Yoko
authors.initials: Y
authors.lastname: Taniguchi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Usuda
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kawabata
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Iida
mesh_terms: D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D050197:Atherosclerosis / Q000150:complications / Q000473:pathology / Q000628:therapy; D001284:Atrophy; D006801:Humans; D006978:Hypertension, Renovascular / Q000150:complications / Q000473:pathology* / Q000628:therapy*; D007668:Kidney / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012078:Renal Artery Obstruction / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure
chemical_list: D000959:Antihypertensive Agents