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Titolo:
Renovascular hypertension in children
Autore:
Estepa, R; Gallego, N; Orte, L; Puras, E; Aracil, E; Ortuno, J;
Indirizzi:
Hosp Ramon y Cajal, Serv Nefrol, Dept Nephrol, ES-28034 Madrid, Spain HospRamon y Cajal Madrid Spain ES-28034 Nephrol, ES-28034 Madrid, Spain Hosp Ramon y Cajal, Dept Vasc Surg, ES-28034 Madrid, Spain Hosp Ramon y Cajal Madrid Spain ES-28034 sc Surg, ES-28034 Madrid, Spain
Titolo Testata:
SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY
fascicolo: 5, volume: 35, anno: 2001,
pagine: 388 - 392
SICI:
0036-5599(200110)35:5<388:RHIC>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
RENAL-ARTERY STENOSIS; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; MANAGEMENT; DISEASE; CHILDHOOD; EXPERIENCE; DIAGNOSIS;
Keywords:
children; hypertension; renovascular disease; vascular surgery; percutaneous transluminal angioplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Estepa, R Hosp Ramon y Cajal, Serv Nefrol, Dept Nephrol, Ctra Colmenar Km 9,100, ES-28034 Madrid, Spain Hosp Ramon y Cajal Ctra Colmenar Km 9,100 Madrid Spain ES-28034
Citazione:
R. Estepa et al., "Renovascular hypertension in children", SC J UROL N, 35(5), 2001, pp. 388-392

Abstract

Objective: To study the etiology, clinical spectrum, image findings, management and outcome of children with renovascular hypertension (RVH). Material and methods: Twenty children (aged 5 days to 15 years) were studied and treated for RVH during 1977-1998. In 14 cases hypertension was foundduring a routine examination. Six cases had heart failure and/or hypertensive encephalopathy. Diagnosis was made with aortography. Postcaptopril renography and Doppler ultrasonography were obtained in 8 patients and spiral computed tomography angiography in 2. Treatment consisted of surgery (8 patients), percutaneous transluminal angioplasty (PTA) (5) or antihypertensive drugs only (8). Results: Initial blood pressure was 62 +/- 31 mmHg > 95th percentile for systolic and 44 +/- 22 mmHg for diastolic blood pressure. Twelve children had unilateral and 8 had bilateral arterial stenosis. In 3 cases lesions wereintrarenal. RVH was due to fibromuscular dysplasia (7 patients) and associated to middle aortic syndrome (5), neurofibromatosis (3), William's syndrome (2), Takayasu's arteritis (1) and pheochromocytoma (1). Treatment of choice was decided depending on the size of the child and location and severity of the stenosis. At the end of the follow-up (78 +/- 49 months), 9 patients are normotensive without medication and 7 are normotensive with drugs. Three patients have died, 2 for unrelated causes and 1 for cardiac failure; 1 child was lost to the follow-up. Conclusions: Although symptoms are relatively uncommon, renovascular disease is a frequent Cause of severe hypertension in childhood. Non-invasive diagnostic techniques appear useful as screening methods. Treatment by surgery or PTA is successful if patients are carefully selected.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 21:43:06