title: Renal autotransplantation for the treatment of renovascular hypertension in the pediatric population.
abstract: OBJECTIVE
  To evaluate the effectiveness of renal autotransplantation (RA) for the treatment of renovascular hypertension (RVH) in a selected group of children in whom medical care, a percutaneous transluminal angioplasty or vascular reconstruction failed or was technically impossible, in addition to the short-term and long-term morbidity.
  
  
  METHODS
  A retrospective case review of 13 pediatric patients with severe or complicated RVH who underwent RA between May 1993 and August 2008 was conducted. We defined blood pressure (BP) response as follows: Cured: normal BP values with no need of antihypertensive medication (AM); Improved: normal BP values with AM requirements; Failed: abnormal BP values despite treatment with AM.
  
  
  RESULTS
  16 RA were performed in 7 female and 6 male patients. Bilateral RA were performed in 2 females and in 1 male. The average age at consultation for hypertension was 8.5 years (range 4-12 years) and the time of transplantation was 9.12 years (range 6-13 years). Etiological diagnoses were: Takayasu disease (n = 5); renal artery fibrodysplasia (n = 3); mid-aortic syndrome (n = 3) and neurofibromatosis type I (n = 2). Results after RA were: Cured: 61.5%; Improved: 38.5%. No patient presented therapeutic failure during follow up time (median = 53.4 months). Only 1 case presented a postoperative complication.
  
  
  CONCLUSIONS
  RA is a procedure with no mortality and low morbidity rates that renders very satisfactory therapeutic results in the pediatric population.
authors.affiliation: Urology Department, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina. juancorbetta@gmail.com
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Corbetta
authors.forename: V
authors.initials: V
authors.lastname: Durán
authors.forename: C
authors.initials: C
authors.lastname: Burek
authors.forename: S
authors.initials: S
authors.lastname: Weller
authors.forename: C
authors.initials: C
authors.lastname: Sager
authors.forename: R
authors.initials: R
authors.lastname: Dingevan
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Lopez
mesh_terms: D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D014182:Transplantation, Autologous