Cargando…
Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure
BACKGROUND: A honeycomb-like structure (HLS) is a rare abnormality characterized by a braid-like appearance. Angiograph and intravascular examination, including coherence tomography and intravascular ultrasound (IVUS), can further confirm the multiple intraluminal channels or honeycomb structure, wh...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686221/ https://www.ncbi.nlm.nih.gov/pubmed/34930129 http://dx.doi.org/10.1186/s12872-021-02428-1 |
_version_ | 1784617972219772928 |
---|---|
author | Chen, Cheng Zhang, Ying Yin, Da Liu, Yan Cheng, Yunpeng Lu, Yan Jiang, Yinong Song, Wei |
author_facet | Chen, Cheng Zhang, Ying Yin, Da Liu, Yan Cheng, Yunpeng Lu, Yan Jiang, Yinong Song, Wei |
author_sort | Chen, Cheng |
collection | PubMed |
description | BACKGROUND: A honeycomb-like structure (HLS) is a rare abnormality characterized by a braid-like appearance. Angiograph and intravascular examination, including coherence tomography and intravascular ultrasound (IVUS), can further confirm the multiple intraluminal channels or honeycomb structure, which can also be described as looking like ‘swiss cheese’, a ‘spider web’ or a ‘lotus root’. Previous studies have mostly reported this abnormality in coronary arteries, with a few cases in renal arteries. More information about the characteristics and development of HLS is needed. CASE PRESENTATION: A 69-year-old Han man with resistant hypertension received abdominal enhanced computerised tomography and was revealed to have left renal artery stenosis with the possibility of left renal infarction. Renal artery angiography confirmed a 95% stenosis located in the proximal segment of the left renal artery, and the middle segment was blurred with multi-channel-like blood flow. Further IVUS was performed and identified multiple channels surrounded by fibrous tissue. It was a rare case of HLS in the renal artery secondary to the thrombus, with organisation and recanalisation. Balloon dilatation and stent implantation at the proximal segment of the left renal artery were performed successfully. Blood pressure was well controlled after the procedure. CONCLUSIONS: The IVUS findings are helpful for forming interventional therapeutic strategies for HLS lesions in the renal artery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-021-02428-1. |
format | Online Article Text |
id | pubmed-8686221 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-86862212021-12-20 Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure Chen, Cheng Zhang, Ying Yin, Da Liu, Yan Cheng, Yunpeng Lu, Yan Jiang, Yinong Song, Wei BMC Cardiovasc Disord Case Report BACKGROUND: A honeycomb-like structure (HLS) is a rare abnormality characterized by a braid-like appearance. Angiograph and intravascular examination, including coherence tomography and intravascular ultrasound (IVUS), can further confirm the multiple intraluminal channels or honeycomb structure, which can also be described as looking like ‘swiss cheese’, a ‘spider web’ or a ‘lotus root’. Previous studies have mostly reported this abnormality in coronary arteries, with a few cases in renal arteries. More information about the characteristics and development of HLS is needed. CASE PRESENTATION: A 69-year-old Han man with resistant hypertension received abdominal enhanced computerised tomography and was revealed to have left renal artery stenosis with the possibility of left renal infarction. Renal artery angiography confirmed a 95% stenosis located in the proximal segment of the left renal artery, and the middle segment was blurred with multi-channel-like blood flow. Further IVUS was performed and identified multiple channels surrounded by fibrous tissue. It was a rare case of HLS in the renal artery secondary to the thrombus, with organisation and recanalisation. Balloon dilatation and stent implantation at the proximal segment of the left renal artery were performed successfully. Blood pressure was well controlled after the procedure. CONCLUSIONS: The IVUS findings are helpful for forming interventional therapeutic strategies for HLS lesions in the renal artery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-021-02428-1. BioMed Central 2021-12-20 /pmc/articles/PMC8686221/ /pubmed/34930129 http://dx.doi.org/10.1186/s12872-021-02428-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Chen, Cheng Zhang, Ying Yin, Da Liu, Yan Cheng, Yunpeng Lu, Yan Jiang, Yinong Song, Wei Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
title | Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
title_full | Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
title_fullStr | Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
title_full_unstemmed | Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
title_short | Refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
title_sort | refractory hypertension secondary to renal artery stenosis with a honeycomb-like structure |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8686221/ https://www.ncbi.nlm.nih.gov/pubmed/34930129 http://dx.doi.org/10.1186/s12872-021-02428-1 |
work_keys_str_mv | AT chencheng refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT zhangying refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT yinda refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT liuyan refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT chengyunpeng refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT luyan refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT jiangyinong refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure AT songwei refractoryhypertensionsecondarytorenalarterystenosiswithahoneycomblikestructure |