Emergency renal artery stenting in acute anuric renal failure in children with Takayasu's arteritis

Koneti, Nageswara Rao; Mahajan, Nipun; Bakhru, Shweta; Verma, Sudeep; Kathare, Pallavi

doi:10.1016/j.ihj.2013.08.018

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Percutaneous transluminal angioplasty with balloon or stenting have long been used in TA, but despite providing short term benefit, re-stenosis, and aneurysmal formation are frequent and may occur within 1 or 2 years, and justify new interventions such as bypass surgery ( 24 , 124 , 190 – 192 ). Percutaneous renal artery stenting has been useful in children with acute renal failure due to severe bilateral renal artery stenosis ( 193 ) and it is an effective therapy for the management of refractory renovascular hypertension; aorto-renal bypass and renal unilateral or bilateral autotransplantation are also recommended. ( 124 , 194 , 195 ).…”

Section: Managementmentioning

confidence: 99%

Takayasu Arteritis

2018

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Takayasu arteritis is an idiopathic granulomatous vasculitis of the aorta and its main branches and it constitutes one of the more common vasculitides in children. Inflammation and intimal proliferation lead to wall thickening, stenotic or occlusive lesions, and thrombosis, while destruction of the elastica and muscularis layers originates aneurysms and dissection. Carotid artery tenderness, claudication, ocular disturbances, central nervous system abnormalities, and weakening of pulses are the most frequent clinical features. The diagnosis is usually confirmed by the observation of large vessel wall abnormalities: stenosis, aneurysms, occlusion, and evidence of increased collateral circulation in angiography, MRA or CTA imaging. The purpose of this revision is to address the current knowledge on pathogenesis, investigations, classification, outcome measures and management, and to emphasize the need for timely diagnosis, effective therapeutic intervention, and close monitoring of this severe condition.

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Section: Managementmentioning

confidence: 99%

Takayasu Arteritis

2018

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“…PTA of a totally occluded renal artery with 100% ISR is technically challenging as crossing a wire or balloon catheter across the occluded segment has a high failure rate . Acute renal failure following renal artery occlusion is a medical emergency, that requires urgent percutaneous or surgical intervention to avoid chronic renal replacement therapy . Various treatment modalities are available for renal ISR, such as PTA alone, drug‐eluting balloon, cutting balloon, DES, BMS in DES hybrid approach, endovascular brachytherapy and surgical intervention .…”

Section: Discussionmentioning

confidence: 99%

“…Acute renal failure following renal artery occlusion is a medical emergency, that requires urgent percutaneous or surgical intervention to avoid chronic renal replacement therapy . Various treatment modalities are available for renal ISR, such as PTA alone, drug‐eluting balloon, cutting balloon, DES, BMS in DES hybrid approach, endovascular brachytherapy and surgical intervention . As there was a suboptimal result with significant residual stenosis following PTA, we implanted a 7 mm diameter BMS for ISR.…”

Section: Discussionmentioning

confidence: 99%

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north‐west India

et al. 2018

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Aim:To report our experience on complex percutaneous interventions of the abdominal aorta and its branches in six children with Takayasu arteritis (TA). Methods:A review of records of children with TA, who underwent percutaneous interventions of the abdominal aorta and its major branches. Results:In this analysis, we included six children with TA who underwent intervention of the abdominal aorta and its major branches. The endovascular interventions were performed mostly for treatment-resistant renovascular hypertension and mesentery artery ischemia. Mean age (±SD) at time of intervention was 10.6 ± 2.5 years (four boys and two girls). Percutaneous interventions included stenting of abdominal aorta (n = 2), renal arteries (n = 4), mesenteric arteries (n = 2), repeat stenting for renal artery in-stent restenosis (n = 1), and renal autotransplantation (n = 4). All 13 interventions were successful and enabled us to obtain good control of blood pressure. Conclusion:We hereby report six children with TA who were successfully managed with complex percutaneous interventions of the abdominal aorta and its major branches. Balloon dilatation and stent placement constitutes the mainstay of management of TA with stenosis of the large vessels. K E Y W O R D Sabdominal aorta, drug-eluting stent, hypertension, mesenteric artery stent, renal artery instent restenosis, renal artery stent, renal auto-transplantation, stent fracture, Takayasu arteritis

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Emergency renal artery stenting in acute anuric renal failure in children with Takayasu's arteritis

Cited by 2 publications

References 8 publications

Takayasu Arteritis

Takayasu Arteritis

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north‐west India

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