The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(3):838-842.
증례 : 조절되지 않는 고혈압 환자의 신동맥 완전폐쇄 병변의 스텐트 시술
이상호.강원유.이상현.김준우.구 철.김 완 . 김 원, , , , , ,
Successful stent placement in total occlusion of the renal artery in a patient with uncontrolled hypertension
Sang-Ho Lee, Won-Yu Kang, Sang-Hyun Lee, Joon-Woo Kim, Cheol Koo, Wan Kim, Weon Kim


Abstract
Atherosclerotic renal artery stenosis may result in hypertension and ischemic nephropathy. We report successful percutaneous transluminal renal angioplasty (PTRA) with stent placement for total occlusion of the right renal artery in a 68-year-old patient with uncontrolled hypertension. To our knowledge, this has never been undertaken before in Korea. Magnetic resonance (MR) angiography revealed total occlusion of the right renal artery with an invisible ostium. The plasma renin activity was elevated markedly at16.7 ng/ml. We performed PTRA with stenting successfully, because the patient refused surgical revascularization. His blood pressure was controlled successfully and remained so 3 months later. (Korean J Med 75:S838-S842, 2008)

Keywords :Hypertension, Renovascular, Angioplasty, Stent
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