Title

Reconstruction of the renal artery after unsuccessful percutaneous transluminal angioplasty in children

Document Type

Journal Article

Publication Date

1-1-1983

Journal

The American Journal of Surgery

Volume

145

Issue

5

DOI

10.1016/0002-9610(83)90114-9

Abstract

The use of percutaneous transluminal angioplasty as the primary treatment of renovascular stenosis in adults has recently been described. Previously, only three children have been reported to have undergone transluminal angioplasty for stenosis of the renal artery and hypertension. At our hospital, transluminal angioplasty was attempted in four children with renal artery stenosis; one attempt was successful and three were unsuccessful. The three patients who required surgical repair of the renal artery after unsuccessful transluminal angioplasty have been described in detail. The histopathology of the stenotic vessels is also discussed. Based on the analysis of the three children, certain criteria have been derived to select pediatric patients with renovascular hypertension either for attempted transluminal angioplasty or for primary surgical revascularization. © 1983.

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