Razi Journal of Medical Sciences

ABSTRACT

Renal artery stenosis is one of the treatable causes of systemic hypertension in children. For years surgery was the treatment of choice, but recently PTRA (Percutaneous Transluminal Renal Angioplasty) has been successfully performed for relief of the stenosis. This method compared with surgery is safe, simple and has lower complication rate. At times stent placement is performed in conjunction with balloon angioplasty of the renal arteries. The patient was 3 year old boy presented with systemic hypertension refractory to medical therapy. Evaluation of the patient showed systemic hypertension possibly due to renal artery stenosis. Renal artery angiography was performed and confirmed the diagnosis. Percutaneous transluminal renal angioplasty (PTRA) with stent placement was performed successfully.