Volume 22 Issue 6
Jun.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 1081-1084
LI Wentao, LIU Chuan, XAING Tong, CAO Ruojin, WU Hao. Refractory hypertension caused by bilateral renal artery stenosis: a case report and literature review[J]. Chinese Journal of General Practice, 2024, 22(6): 1081-1084. doi: 10.16766/j.cnki.issn.1674-4152.003571
Citation: LI Wentao, LIU Chuan, XAING Tong, CAO Ruojin, WU Hao. Refractory hypertension caused by bilateral renal artery stenosis: a case report and literature review[J]. Chinese Journal of General Practice, 2024, 22(6): 1081-1084. doi: 10.16766/j.cnki.issn.1674-4152.003571
shu

Refractory hypertension caused by bilateral renal artery stenosis: a case report and literature review

doi: 10.16766/j.cnki.issn.1674-4152.003571
  • 1.

    School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, China

Funds:

 2022-1-005

 首2022-2-7052

  • Received Date: 2023-11-21
    Available Online: 2024-07-22
    Abstract
  • Refractory hypertension caused by bilateral renal artery stenosis (RAS) has a low incidence and is difficult to diagnose and treat clinically. The Department of General Medicine of Xuanwu Hospital Capital Medical University admitted a 48-year-old male patient with a recent history of severe hypertension. Considering the patient's age and severity of hypertension, we screened for common causes of secondary hypertension. Further abdominal aortic CTangiography showed moderate to severe stenosis at the openings of the bilateral renal arteries, which led to refractory hypertension. Therefore, angioplasty of both renal arteries was performed as a staged procedure, and the patient's blood pressure was gradually controlled and stabilized during postoperative follow-up. This article reviews the specific diagnosis and treatment process and reviews relevant literature.

     

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  • [1]
    蒋雄京, 邹玉宝. 肾动脉狭窄的诊断和处理中国专家共识[J]. 中国循环杂志, 2017, 32(9): 835-844. doi: 10.3969/j.issn.1000-3614.2017.09.002

    JIANG X J, ZOU Y B. Chinese expert consensus on the diagnosis and management of renal artery stenosis[J]. Chinese Journal of Circulation, 2017, 32(9): 835-844. doi: 10.3969/j.issn.1000-3614.2017.09.002
    [2]
    DOBREK L. An outline of renal artery stenosis pathophysiology-A narrative review[J]. Life (Basel), 2021, 11(3): 208. DOI: 10.3390/life11030208.
    [3]
    SARAFIDIS P, THEODORAKOPOULOU M, ORTIZ A, et al. Atherosclerotic renovascular disease: a clinical practice document by the European Renal Best Practice (ERBP) board of the European Renal Association (ERA) and the Working Group Hypertension and the Kidney of the European Society of Hypertension (ESH)[J]. Nephrol Dial Transplant, 2023, 38(12): 2835-2850. doi: 10.1093/ndt/gfad095
    [4]
    HIREMATH S, SAPIR-PICHHADZE R, NAKHLA M, et al. Hypertension Canada ' s 2020 evidence review and guidelines for the management of resistant hypertension[J]. Can J Cardiol, 2020, 36(5): 625-634. doi: 10.1016/j.cjca.2020.02.083
    [5]
    李妮, 孟琦. 肾动脉狭窄漏诊报告1例并文献复习[J]. 中华全科医学, 2023, 21(5): 900-902. doi: 10.16766/j.cnki.issn.1674-4152.003010

    LI N, MENG Q. Missed diagnosis of renal artery stenosis: a case report and literature review[J]. Chinese Journal of General Practice, 2023, 21(5): 900-902. doi: 10.16766/j.cnki.issn.1674-4152.003010
    [6]
    EDGR B, PEARSON R, KASTHURI R, et al. The impact of renal artery stenting on therapeutic aims[J]. J Hum Hypertens, 2023, 37(4): 265-272.
    [7]
    杨德业, 赵连友, 李玉明, 等. 中国继发性高血压临床筛查多学科专家共识(2023)[J]. 心脑血管病防治, 2023, 23(1): 1-24. doi: 10.3969/j.issn.1009-816x.2023.01.001

    YANG D Y, ZHAO L Y, LI Y M, et al. Multidisciplinary expert consensus on clinical screening of secondary Hypertension in China (2023)[J]. Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, 2023, 23(1): 1-24. doi: 10.3969/j.issn.1009-816x.2023.01.001
    [8]
    WILLIAMS B, MANCIA G, SPIERING W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension[J]. J Hypertens, 2018, 36(12): 2284-2309. doi: 10.1097/HJH.0000000000001961
    [9]
    PRIMUS C, AUER J. Bilateral renal artery stenosis in a young man[J]. BMJ Case Reports, 2021, 14(8): e237608. DOI: 10.1136/bcr-2020-237608.
    [10]
    BAILEY S, BECKMAN J, DAO T, et al. ACC/AHA/SCAI/SIR/SVM 2018 appropriate use criteria for peripheral artery intervention: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Heart Association, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, and Society for Vascular Medicine[J]. J Am Coll Cardiol, 2019, 73(2): 214-237. doi: 10.1016/j.jacc.2018.10.002
    [11]
    ABOYANS V, RICCO J, BARTELINK M, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries endorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS)[J]. Eur Heart J, 2018, 39(9): 763-816. doi: 10.1093/eurheartj/ehx095
    [12]
    IWASHIMA Y, ISHIMITSU T. How should we define appropriate patients for percutaneous transluminal renal angioplasty treatment?[J]. Hypertens Res, 2020, 43(10): 1015-1027. doi: 10.1038/s41440-020-0496-z
    [13]
    LENZ T. Treatment of renal artery stenosis in the year 2021[J]. Internist (Berl), 2021, 62(3): 252-262. doi: 10.1007/s00108-020-00935-5
    [14]
    THEODORAKOPOULOU M, KARAGIANNIDIS A, FERRO C, et al. Renal artery stenting in the correct patients with atherosclerotic renovascular disease: time for a proper renal and cardiovascular outcome study?[J]. Clin Kidney J, 2022, 16(2): 201-204.
    [15]
    CHEN Y, PAN H, LUO G, et al. Use of percutaneous transluminal renal angioplasty in atherosclerotic renal artery stenosis: a systematic review and meta-analysis[J]. J Int Med Res, 2021, 49(1): 300060520983585. DOI: 10.1177/0300060520983585.
    [16]
    IWASHIMA Y, KUSUNOKI H, TANIYAMA A, et al. Impact of percutaneous transluminal renal angioplasty on autonomic nervous system and natriuresis in hypertensive patients with renal artery stenosis[J]. J Am Heart Assoc, 2022, 11(6): e23655. DOI: 10.1161/JAHA.121.023655.
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