Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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A Case of Renovascular Hypertension Controlled by Renal Artery Embolization

신동맥 색전술로 치료한 신혈관 고혈압증 1례

  • Yew, Jung Hun (Department of Pediatrics, College of Medicine, Chungnam National University) ;
  • Kim, Young Deuk (Department of Pediatrics, College of Medicine, Chungnam National University) ;
  • Shin, Byung Seok (Department of Diagnostic Radiology, College of Medicine, Chungnam National University) ;
  • Gil, Hong Ryang (Department of Pediatrics, College of Medicine, Chungnam National University)
  • 유정훈 (충남대학교 의과대학 소아과학교실) ;
  • 김영득 (충남대학교 의과대학 소아과학교실) ;
  • 신병석 (충남대학교 의과대학 진단방사선과학교실) ;
  • 길홍량 (충남대학교 의과대학 소아과학교실)
  • Received : 2004.07.23
  • Accepted : 2004.10.07
  • Published : 2005.02.15
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Abstract

Renal artery stenosis is a major cause of renovascular hypertension and the most common cause of treatable secondary hypertension. There are several methods to treat renal artery stenosis, including surgery, percutaneous transluminal renal angioplasty(PTRA), and renal artery stenting(RAS). But, renal artery embolization can be tried in atherosclerotic stenosis, multiple stenosis, microaneurysm, and stenosis difficult to try PTRA or RAS. We report a case of renovascular hypertension in a 14-year-old female who had multiple segmental renal artery stenosis. Hypertension was controlled by renal ablation therapy with renal artery embolization.

신성 고혈압은 소아기 이차성 고혈압의 흔한 원인이며, 그 중 신동맥 협착은 치료 가능한 고혈압의 가장 흔한 원인이다. 신혈관성 고혈압 치료로 약물치료에 반응하지 않는 경우 혹은 초기 단계부터 치료목적으로 경피적 혈관 성형술과 신장동맥 스텐트 등의 중재적 혈관 성형술이나 수술요법이 시행할 수 있다. 죽상 경화형 협착, 다발성의 협착, 미세동맥류, 그리고 협착 부위가 혈관 성형술이나 stent로 교정되기 어려운 경우에는 부분적 혹은 완전 신장동맥 색전술이 시도될 수 있다. 저자들은 신장동맥 색전술을 이용한 renal ablation요법으로 고혈압의 호전을 보인 신혈관 고혈압증 1례를 경험하였기에 보고하는 바이다.

Keywords

References

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