Segmental Intrarenal Catheterization in Renin-Mediated Hypertension

Lindstrom, Rabbe R.; Brosman, Stanley A.; Paul, Joy G.; Bennett, Carol J.; Connor, Grace; Barajas, Luciano

doi:10.1016/s0022-5347(17)57867-2

Cited by 10 publications

(3 citation statements)

References 7 publications

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“…With these data, Melman et al (22) describe an 81% therapeutical improvement of hypertension, compared to 59% of other studies which did not include the renin assays. Some authors even obtained 90% improvement or cure employing this diagnostic method (14,19). Occasionally only a small intraparenchymatous branch of the renal artery is stenotic, and in these cases, the renin levels of the main venous trunks do not show significant differences, due to dilution of the renin produced by the ischemic segment.…”

Section: Commentsmentioning

confidence: 99%

“…Occasionally only a small intraparenchymatous branch of the renal artery is stenotic, and in these cases, the renin levels of the main venous trunks do not show significant differences, due to dilution of the renin produced by the ischemic segment. Selective catheterization of the various venous branches, obtaining several samples of blood, enables the localization of the renin-producing segment (9,14). Once hypertension is charac terized as a consequence of renovascular dis ease, either clinical or surgical treatment can be instituted.…”

Section: Commentsmentioning

confidence: 99%

“…Nephrectomy is the treatment of choice in cases where the obstructive or aneurismatic lesions extend from the renal artery to the secondary and tertiary branches. In cases where an intraparenchymatous segmental lesion is ob served, partial nephrectomy is indicated (14). An increasing number of successful arterial re constructions have been reported in children in recent years.…”

Section: Commentsmentioning

confidence: 99%

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Reno vascular Hypertension in Children

Góes¹,

Arap²,

Dénes³

1980

Urol Int

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Due to better methods of diagnosis, an increasing number of children with renovascular hypertension are being discovered. The disease itself has variable clinical manifestations, and an adequate laboratorial workup, including arteriography and renin assays, is mandatory in suspected cases. Treatment depends on the prognostic values of the renin assays and surgery cures 80% of the patients, either by nephrectomy or by revascularization techniques. Among these, renal autotransplantation gives better exposure of the operative field, and therefore better results. In most cases, systemic infection seems to be the main cause of the inflammatory reaction within the arterial wall that causes obstruction.

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Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

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