Renal artery intervention in pediatric and adolescent patients: A 20-year experience

Ying Huang, Audra A. Duncan, Michael A. McKusick, Dawn S. Milliner, Thomas C. Bower, Manju Kalra, Peter Gloviczki, Tanya L. Hoskin

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Between 1986 and 2005, 22 patients (mean age, 14.7 years; range, 3-21) with renal hypertension underwent renal artery revascularization for 28 lesions, 23 with open repair (OR) and 5 with percutaneous transluminal renal angioplasty (PTRA). Thirty-day morbidity was 17% (4/23). Hypertension was cured in 13 (57%), improved in 8 (38%), and unchanged in 1 (5%). Renal function worsened in 1. At a mean follow-up of 4.9 years, 1-year patency rate was 94% and maintained for 5 years. Hypertension at 1 year was cured in 6 of 14 patients (43%; OR, 4; PTRA, 2) and improved in 8 (57%; OR, 7; PTRA, 1); hypertension at 5 years was cured in 50% and improved in 50%. Renal function remained unchanged in all patients who were followed. The authors conclude that both OR and PTRA benefit pediatric patients. PTRA for selected patients may be promising as a first line treatment or as a bridge to definitive OR in children with small arteries.

Original languageEnglish (US)
Pages (from-to)490-499
Number of pages10
JournalVascular and Endovascular Surgery
Volume41
Issue number6
DOIs
StatePublished - Dec 2008

Fingerprint

Renal Artery
Angioplasty
Pediatrics
Kidney
Hypertension
Renal Hypertension
Arteries
Morbidity

Keywords

  • Adolescent
  • Hypertension
  • Intervention
  • Pediatric
  • Renal artery disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Huang, Y., Duncan, A. A., McKusick, M. A., Milliner, D. S., Bower, T. C., Kalra, M., ... Hoskin, T. L. (2008). Renal artery intervention in pediatric and adolescent patients: A 20-year experience. Vascular and Endovascular Surgery, 41(6), 490-499. https://doi.org/10.1177/1538574407307944

Renal artery intervention in pediatric and adolescent patients : A 20-year experience. / Huang, Ying; Duncan, Audra A.; McKusick, Michael A.; Milliner, Dawn S.; Bower, Thomas C.; Kalra, Manju; Gloviczki, Peter; Hoskin, Tanya L.

In: Vascular and Endovascular Surgery, Vol. 41, No. 6, 12.2008, p. 490-499.

Research output: Contribution to journalArticle

Huang, Y, Duncan, AA, McKusick, MA, Milliner, DS, Bower, TC, Kalra, M, Gloviczki, P & Hoskin, TL 2008, 'Renal artery intervention in pediatric and adolescent patients: A 20-year experience', Vascular and Endovascular Surgery, vol. 41, no. 6, pp. 490-499. https://doi.org/10.1177/1538574407307944
Huang, Ying ; Duncan, Audra A. ; McKusick, Michael A. ; Milliner, Dawn S. ; Bower, Thomas C. ; Kalra, Manju ; Gloviczki, Peter ; Hoskin, Tanya L. / Renal artery intervention in pediatric and adolescent patients : A 20-year experience. In: Vascular and Endovascular Surgery. 2008 ; Vol. 41, No. 6. pp. 490-499.
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