Efficacy of balloon angioplasty in treatment of renal arteries fibromuscular dysplasia (10-year follow-up)

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Resumo

Among the causes of renovascular hypertension (RVH), fibromuscular dysplasia (FMD) of the renal arteries takes second place, second only to atherosclerotic lesions. The presence of renal arteries FMD can cause refractory hypertension, increase the risk of adverse cardiovascular events, and lead to a decrease in glomerular filtration rate. With the beginning of the use of interventional methods in RVH treatment, it became possible to significantly modify the patients’ prognosis. In young patients, the use of balloon angioplasty lets to achieve normalization of blood pressure or medical control of arterial hypertension. The article presents a 10-year clinical follow-up of a patient with renal artery FMD treated with balloon angioplasty. The significance of the presented observation consists in demonstrating the possibilities of endovascular methods for FMD treatment to improve the RVH course.

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Sobre autores

Elena Yakovleva

V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia

Autor responsável pela correspondência
Email: elenaviktorova@yandex.ru
ORCID ID: 0000-0001-6700-8531

PhD in Medical Sciences, Associate Professor of the Department of Hospital Therapy

Rússia, Saratov

Elena Voloshinova

V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia

Email: Kgt.sgmu1@yandex.ru
ORCID ID: 0000-0002-6883-0567

PhD in Medical Sciences, Associate Professor of the Department of Hospital Therapy

Rússia, Saratov

Maria Tyapkina

V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia

Email: Kgt.sgmu1@yandex.ru
ORCID ID: 0000-0002-1860-3171

PhD in Medical Sciences, Associate Professor of the Department of Hospital Therapy

Rússia, Saratov

Violetta Makhina

Regional Clinical Hospital

Email: violettamakhina@mail.ru
ORCID ID: 0000-0001-8080-7063

Nephrologist at the Department of Nephrology

Rússia, Saratov

Bibliografia

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  7. Яицкий Н.А., Семенов Д.В., Игнашов А.М. с соавт. Хирургическое лечение фибромускулярной дисплазии у взрослых. Вестник хирургии имени И.И. Грекова. 2010; 169(4): 44–48. [Yaitskiy N.A., Semenov D.V., Ignashov A.M. et al. Surgical treatment of fibromuscular dysplasia in adults. Vestnik khirurgii imeni I.I. Grekova = Herald of Surgery named after I.I. Grekov. 2010; 169(4): 44–48 (In Russ.)]. EDN: MSUTLJ.
  8. Sharma A.M., Kline B. The United States registry for fibromuscular dysplasia: new findings and breaking myths. Tech Vasc Interv Radiol. 2014; 17(4): 258–63. https://dx.doi.org/10.1053/j.tvir.2014.11.007.

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2. Fig. 1. Values of glomerular filtration rate in patient X before and after balloon angioplasty

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3. Fig. 2. Systolic and diastolic blood pressure in patient X. before and after balloon angioplasty

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