Korean J Nephrol.  2006 Nov;25(6):1047-1053.

Successful Resolution of Left Renal Artery Stenosis by Interventional Renal Angioplasty with Stent in a Patient with Renal Insufficiency Underlying Ischemic Nephropathy

• Jung HJ
• Kang KM
• Oh BS
• Lee SJ
• Chang YK
• Kim JC
• Kim SY
• Chang YS
• Bang BK

Abstract

Ischemic nephropathy is defined as renal dysfunction due to renal hypoperfusion mainly through renal artery stenosis. It is a common cause of chronic renal failure in old patients with atherosclerosis and is also a potentially correctable cause of renal failure if diagnosed earlier. We experienced a case of sudden Rt. main renal artery occlusion and renal failure after femoral artery angioplasty in an aged male patient with underlying atherosclerotic bilateral renovascular stenosis associated with ischemic nephropathy. He received successful Lt. renal artery angioplasty with stenting and restored Lt. renal artery blood flow. His blood pressure was more easily controlled with fewer antihypertensive drugs after renal artery revascularization. His renal function was recovered to his baseline level and became stabilized thereafter. Early diagnosis of ischemic nephropathy with MRA and timely renal angioplasty with stenting are beneficial to avoiding progression to irreversible renal failure.

Keyword

Ischemic nephropathy; Atherosclerotic renovascular stenosis; Renal angioplasty with stenting

MeSH Terms

Angioplasty*
Antihypertensive Agents
Atherosclerosis
Blood Pressure
Constriction, Pathologic
Early Diagnosis
Femoral Artery
Humans
Kidney Failure, Chronic
Male
Renal Artery Obstruction*
Renal Artery*
Renal Insufficiency*
Stents*
Antihypertensive Agents