From: Managing acute presentations of atheromatous renal artery stenosis
Patient | Presentation | Comorbidities | Clinical Features | Anatomy | Intervention | Response |
---|---|---|---|---|---|---|
2 | 55 yr old male referred for resistant htn | HTN, IHD, Previous TIA PVD, Smoker | BP: 152/105 mmHg on 3 agents with hypertensive retinopathy | MRA Rt: 90% (10.5 cm) L: 60% (10.5 cm) | Rt PTRAS (Fig. 1) | 1 month: BP < 130/80 mmHg on 3 agents |
6 | 57 yr female referred for resistant htn | HTN (age 20), Asthma Chronic pain syndrome | BP: 204/101 mmHg on 5 agents | MRA Rt: 90% L: 100% (< 7) | Rt PTRAS | 1 month: BP < 130/80 mmHg on 3 agents |
8 | 63 yr old male referred for resistant htn | HTN, COPD, Smoker HFrEF (24%) | BP: 201/107 mmHg on 5 agents | MRA Rt: 100%(7 cm) L: > 70% (10 cm) | L PTRAS | 1 month: BP < 130/80 mmHg on 3 agents 4 months: EF ↑ 55% |