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Table 2 Clinical Information of patients presenting with heart failure

From: Managing acute presentations of atheromatous renal artery stenosis

Patient

Presentation

Co-morbidities

Clinical Features

Anatomy

Intervention

Response

3

66 yr female referred for recurrent heart failure. 3 admissions in 12 months

HTN (poorly controlled),

Progressive CKD (eGFR: 34)

BP: 193/93 mmHg on 5 agents

MRA

Rt: 80–90% (9 cm)

L: 80–90% (11 cm)

Bilateral PTRAS

1 month:

Bp: 134/69 mmHg on 3 agents

eGFR: 45 ml/min

4 months:

EF: 45–55%

No further admissions for HF

7

68 yr male acute presentation with dyspnoea while mobilising

HTN (> 20 years),

Inflammatory arthropathy, Ex-smoker

Grossly oedematous and in pulmonary oedema

Creatinine: 538 µmol/L; needed acute dialysis

CTA

Rt: > 90% (11 cm)

L: > 90%

(9.5 cm)

Bilateral PTRA with left PTRAS

1 month: Remained HD dependant.

NSTEMI not for PCI.

6 months: Visual loss due to retinal artery occlusion.

PVD with acute limb ischaemia requiring angioplasty.

24 months: RIP

  1. HTN hypertension, CKD chronic kidney disease, eGFR estimated glomerular filtration rate, BP blood pressure, MRA Magnetic Resonance Angiography, Rt right, L-left, PTRAS percutaneous transluminal renal angioplasty with stenting, EF ejection fraction, HF heart failure, CTA computed tomography angiography, PTRA percutaneous transluminal angioplasty, HD haemodialysis, NSTEMI non-ST segment elevation myocardial infarction, PCI percutaneous coronary intervention, PVD peripheral vascular disease