CC BY-NC-ND 4.0 · Avicenna J Med 2013; 03(01): 23-25
DOI: 10.4103/2231-0770.112791
CASE REPORT

Renal artery embolization for managing uncontrolled hypertension in a kidney transplant candidate

Naji Alhamid
Department of Internal Medicine, School of Medicine, University of Damascus, Damascus, Syria
,
Hani Alterky
Department of Internal Medicine, School of Medicine, University of Damascus, Damascus, Syria
,
Mohammad Imad Othman
Kidney Transplant Unit and Nephrology Department, AUH, Damascus, Syria
› Author Affiliations

Abstract

We report a case of pre-operative bilateral renal artery embolization to control the resistant and malignant hypertension in a patient prepared for kidney transplantation. A 34-year-old man with end-stage renal disease as a result of the focal segmental glomerulosclerosis and uncontrolled hypertension that precluded the transplantation surgery and the patient′s post-transplant blood pressure and the renal function remained within normal limits following the transplant for 6 months of follow-up.



Publication History

Article published online:
09 August 2021

© 2013. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, et al. Resistant hypertension: Diagnosis, evaluation, and treatment. A scientific statement from the American heart association professional education committee of the council for high blood pressure research. Hypertension 2008;51:1403-19.
  • 2 Sauk S, Zuckerman DA. Renal artery embolization. Semin Intervent Radiol 2011;28:396-406.
  • 3 Collins CS, Eggert CH, Stanson AJ, Garovic VD. Long-term follow-up of renal function and blood pressure after selective renal arterial embolization. Perspect Vasc Surg Endovasc Ther 2010;22:254-60.
  • 4 Birchem JA, Fraley MA, Senkottaiyan N, Alpert MA. Influence of hypertension on cardiovascular outcomes in hemodialysis patients. Semin Dial 2005;18:391-5.
  • 5 Morse SA, Dang A, Thakur V, Zhang R, Reisin E. Hypertension in chronic dialysis patients: Pathophysiology, monitoring, and treatment. Am J Med Sci 2003;325:194-201.
  • 6 Mao Z, Ye C, Mei C, Zhao X, Zhang Y, Xu C, et al. Comparison of unilateral renal artery embolization versus bilateral for treatment of severe refractory hypertension in hemodialysis patients. World J Urol 2009;27:679-85.
  • 7 Shoma AM, Eraky I, El-Kappany HA. Pretransplant native nephrectomy in patients with end-stage renal failure: Assessment of the role of laparoscopy. Urology 2003;61:915-20.
  • 8 Fricke L, Doehn C, Steinhoff J, Sack K, Jocham D, Fornara P. Treatment of posttransplant hypertension by laparoscopic bilateral nephrectomy? Transplantation 1998;65:1182-7.
  • 9 Yarimizu SN, Susan LP, Straffon RA, Stewart BH, Magnusson MO, Nakamoto SS. Mortality and morbidity in pretransplant bilateral nephrectomy: Analysis of 305 cases. Urology 1978;12:55-8.
  • 10 Darby CR, Cranston D, Raine AE, Morris PJ. Bilateral nephrectomy before transplantation: Indications, surgical approach, morbidity and mortality. Br J Surg 1991;78:305-7.
  • 11 Hom D, Eiley D, Lumerman JH, Siegel DN, Goldfischer ER, Smith AD. Complete renal embolization as an alternative to nephrectomy. J Urol 1999;161:24-7.
  • 12 Basile A, Boullosa-Seoane E, Dominiguez-Viguera L, Certo A, Casal-Rivas M. Bilateral renal embolization in the treatment of patients with renal insufficiency and arterial hypertension: Report of a case of polycystic kidneys. Radiol Med 2002;103:555-7.
  • 13 Bergreen PW, Woodside J, Paster SB. Therapeutic renal infarction. J Urol 1977;118:372-4.