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Acute paediatrics
Selective renal embolisation for renovascular hypertension?
  1. M V Ognjanovic1,
  2. D Richardson2,
  3. M de la Hunt3,
  4. N D Plant4,
  5. N E Moghal4,
  6. H J Lambert4,
  7. M G Coulthard4
  1. 1Department of Nephrology, Mother and Child Health Institute, Belgrade, Yugoslavia
  2. 2Department of Radiology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK
  3. 3Department of Paediatric Surgery, Royal Victoria Infirmary
  4. 4Children's Kidney Unit, Department of Paediatric Nephrology, Royal Victoria Infirmary
  1. Correspondence to:
    Dr M G Coulthard, Children's Kidney Unit, Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK;
    malcolm.coulthard{at}ncl.ac.uk

Abstract

An 11 year old girl developed hypertensive encephalopathy and renal failure from reflux nephropathy. Resection of her shrunken left kidney did not control her hypertension. Two selective arterial embolisations of the scarred right lower pole produced only transient benefit, but a heminephrectomy gave good control. Embolisation may delay definitive treatment.

  • hypertension
  • reflux nephropathy
  • transcatheter embolisation
  • nephrectomy

https://doi.org/10.1136/adc.86.2.127

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    Footnotes

    • MGC is guarantor of the paper.