Efficacy of balloon angioplasty in treatment of renal arteries fibromuscular dysplasia (10-year follow-up)


DOI: https://dx.doi.org/10.18565/therapy.2023.3.136-140

Yakovleva E.V., Voloshinova E.V., Tyapkina M.A., Makhina V.I.

1) V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia; 2) Regional Clinical Hospital, Saratov
Abstract. Among the causes of renovascular hypertension (RVH), fibromuscular dysplasia (FMD) of the renal arteries takes second place, second only to atherosclerotic lesions. The presence of renal arteries FMD can cause refractory hypertension, increase the risk of adverse cardiovascular events, and lead to a decrease in glomerular filtration rate. With the beginning of the use of interventional methods in RVH treatment, it became possible to significantly modify the patients’ prognosis. In young patients, the use of balloon angioplasty lets to achieve normalization of blood pressure or medical control of arterial hypertension. The article presents a 10-year clinical follow-up of a patient with renal artery FMD treated with balloon angioplasty. The significance of the presented observation consists in demonstrating the possibilities of endovascular methods for FMD treatment to improve the RVH course.
Keywords: balloon angioplasty, renovascular hypertension, fibromuscular dysplasia
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About the Autors

Elena V. Yakovleva, PhD in Medical Sciences, associate professor of the Department of hospital therapy, V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia. Address: 410012, Saratov, 112 Bolshaya Kazachya Str. E-mail: elenaviktorova@yandex.ru. ORCID: https://orcid.org/0000-0001-6700-8531
Elena V. Voloshinova, PhD in Medical Sciences, associate professor of the Department of hospital therapy, V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia. Address: 410012, Saratov, 112 Bolshaya Kazachya Str. E-mail: Kgt.sgmu1@yandex.ru. ORCID: https://orcid.org/0000-0002-6883-0567
Maria A. Tyapkina, PhD in Medical Sciences, associate professor of the Department of hospital therapy, V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia. Address: 410012, Saratov, 112 Bolshaya Kazachya Str. E-mail: Kgt.sgmu1@yandex.ru. ORCID: https://orcid.org/0000-0002-1860-3171
Violetta I. Makhina, nephrologist at the Department of nephrology, Regional Clinical Hospital (Saratov). Address: 410053, Saratov, 1 Microrayon Smirnovskoe Ushelje Str. E-mail: violettamakhina@mail.ru. ORCID: https://orcid.org/0000-0001-8080-7063

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