Key result
Renal artery stenting normalizes blood pressure in severe renovascular malignant hypertension.
Why the study?
Renal fibromuscular dysplasia causing malignant hypertension and its treatment outcomes with balloon angioplasty and stenting are not well documented.
Case Report (n=1)
Renal artery angioplasty may control severe hypertension from focal stenosis in young adults; leaves open efficacy questions pending controlled trials.
We presented a 31-year-old female patient with a history of hypertension and severe pulsing headache for about 3 months. The patient had pulsing headaches over the past 3 months with increased very high blood pressure (BP = 220/130 mmHg), sometimes with blurred vision, nausea and vomiting, with no known pathological conditions in her medical history or family background. A digital subtraction angiography confirmed tight stenosis (90%) in the middle segment of the right renal artery. Balloon angioplasty with a stent was the treatment of choice. Blood pressure dropped to normal after treatment.
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Xu et al. (2014) conducted a case report in Renal fibromuscular dysplasia with malignant hypertension (n=1). Balloon angioplasty with a stent was evaluated on Blood pressure normalization. Balloon angioplasty with stenting successfully normalized blood pressure in a 31-year-old female with malignant hypertension and 90% right renal artery stenosis.
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