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KMID : 0359920060250061047
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Korean Journal of Nephrology
2006 Volume.25 No. 6 p.1047 ~ p.1053
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Successful Resolution of Left Renal Artery Stenosis by Interventional Renal Angioplasty with Stent in a Patient with Renal Insufficiency Underlying Ischemic Nephropathy
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Jung Hyun-Jung
Kang Kyung-Mi
Oh Byoung-Sun
Lee Sang-Ju
Chang Yoon-Kyung
Kim Suk-Young
Chang Yoon-Sik
Bang Byung-Kee
Kim Ji-Chang
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Abstract
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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. (Korean J Nephrol 200625(6):1047-1053)
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KEYWORD
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Ischemic nephropathy, Atherosclerotic renovascular stenosis, Renal angioplasty with stenting
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