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 |