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Case Studies | Medicine | India | Volume 14 Issue 1, January 2025 | Popularity: 4.2 / 10
Renal Artery Stenting in Takayasu Arteritis
Dr P. Keerthana, Dr. A. Koushik, Dr. M. Swarna Deepthi, Dr. K. Ravinder Reddy
Abstract: Renal artery stenosis is a critical cause of renovascular hypertension and chronic renal failure, often attributed to atherosclerosis in older individuals and Takayasu arteritis in younger patients. This case report details the clinical presentation, investigation, and successful management of a 27 - year - old male with resistant hypertension, Takayasu arteritis grade 5, and bilateral renal artery stenosis. Diagnostic evaluations revealed significant vascular occlusions, including bilateral renal arteries, managed through percutaneous transluminal renal angioplasty (PTRA). Post - intervention, the patient's hypertension and renal function significantly improved, with sustained recovery during follow - up on antiplatelet therapy, statins, and methotrexate. This case underscores PTRA's efficacy as a viable treatment for Takayasu arteritis - associated stenosis despite its restenosis risk, offering promising short - term outcomes and improved quality of life.
Keywords: Renal artery stenosis, Takayasu arteritis, Percutaneous transluminal renal angioplasty, Resistant hypertension, Vascular occlusion
Edition: Volume 14 Issue 1, January 2025
Pages: 196 - 198
DOI: https://www.doi.org/10.21275/MR25102184607
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