Renal autotransplantation for the treatment of renovascular hypertension in the pediatric population.
J Pediatr Urol
; 7(3): 378-82, 2011 Jun.
Article
em En
| MEDLINE
| ID: mdl-21527221
ABSTRACT
PURPOSE:
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. MATERIALS ANDMETHODS:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipertensão Renal
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Urol
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Argentina