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Renovascular hypertension in children

Paediatric hypertension, defined as systolic blood pressure > 95th percentile for age, sex and height is often incidentally diagnosed. Renovascular hypertension (RVH) is responsible for 5–25% of hypertension in children. Renal artery stenosis and middle aortic syndrome can both can be associated...

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Autores principales: Patel, Premal Amrishkumar, Cahill, Anne Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790992/
https://www.ncbi.nlm.nih.gov/pubmed/33411105
http://dx.doi.org/10.1186/s42155-020-00176-5
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author Patel, Premal Amrishkumar
Cahill, Anne Marie
author_facet Patel, Premal Amrishkumar
Cahill, Anne Marie
author_sort Patel, Premal Amrishkumar
collection PubMed
description Paediatric hypertension, defined as systolic blood pressure > 95th percentile for age, sex and height is often incidentally diagnosed. Renovascular hypertension (RVH) is responsible for 5–25% of hypertension in children. Renal artery stenosis and middle aortic syndrome can both can be associated with various conditions such as fibromuscular dysplasia, Williams syndrome & Neurofibromatosis type 1. This paper discusses the approaches to diagnosis and interventional management and outcomes of renovascular hypertension in children. Angiography is considered the gold standard in establishing the diagnosis of renovascular disease in children. Angioplasty is beneficial in the majority of patients and generally repeated angioplasty is considered more appropriate than stenting. Surgical options should first be considered before placing a stent unless there is an emergent requirement. Given the established safety and success of endovascular intervention, at most institutions it remains the preferred treatment option.
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spelling pubmed-77909922021-01-19 Renovascular hypertension in children Patel, Premal Amrishkumar Cahill, Anne Marie CVIR Endovasc Review Article Paediatric hypertension, defined as systolic blood pressure > 95th percentile for age, sex and height is often incidentally diagnosed. Renovascular hypertension (RVH) is responsible for 5–25% of hypertension in children. Renal artery stenosis and middle aortic syndrome can both can be associated with various conditions such as fibromuscular dysplasia, Williams syndrome & Neurofibromatosis type 1. This paper discusses the approaches to diagnosis and interventional management and outcomes of renovascular hypertension in children. Angiography is considered the gold standard in establishing the diagnosis of renovascular disease in children. Angioplasty is beneficial in the majority of patients and generally repeated angioplasty is considered more appropriate than stenting. Surgical options should first be considered before placing a stent unless there is an emergent requirement. Given the established safety and success of endovascular intervention, at most institutions it remains the preferred treatment option. Springer International Publishing 2021-01-07 /pmc/articles/PMC7790992/ /pubmed/33411105 http://dx.doi.org/10.1186/s42155-020-00176-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Review Article
Patel, Premal Amrishkumar
Cahill, Anne Marie
Renovascular hypertension in children
title Renovascular hypertension in children
title_full Renovascular hypertension in children
title_fullStr Renovascular hypertension in children
title_full_unstemmed Renovascular hypertension in children
title_short Renovascular hypertension in children
title_sort renovascular hypertension in children
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790992/
https://www.ncbi.nlm.nih.gov/pubmed/33411105
http://dx.doi.org/10.1186/s42155-020-00176-5
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