Successful Revascularization of Chronic Total Renal Artery Occlusion in a Young Patient With Resistant Hypertension and Renal Dysfunction: a Case Report
Clicks: 3
ID: 314976
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Popular Article
0.3
/100
3 views
1 readers
AI Quality Assessment
Not analyzed
Readership in this journal
PopularRanked #106 of 251 articles by views in European Heart Journal - Case Reports
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 251 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Background Randomized clinical trials have shown no overall advantage of renal artery revascularization over optimal medical therapy in unselected populations with renal artery stenosis. However, these findings may not be generalizable to all patient subgroups. Carefully selected individuals with high-risk features may still derive substantial clinical benefit from revascularization. Case Summary A 29-year-old woman presented with severe resistant hypertension despite treatment with four antihypertensive agents and strict adherence to lifestyle modifications. Laboratory investigations revealed newly developed renal dysfunction with a significant reduction in estimated glomerular filtration rate compared with prior normal values. Renal Doppler ultrasonography demonstrated chronic total occlusion of the right renal artery, which was subsequently confirmed by computed tomography angiography and invasive renal angiography. Despite complete arterial occlusion, renal size was preserved, and collateral perfusion via the suprarenal artery was evident. Technetium-99m dimercaptosuccinic acid scintigraphy confirmed viable renal parenchyma, indicating potential reversibility of ischemic injury. Given persistent uncontrolled blood pressure, progressive deterioration of renal function, and preserved renal viability, percutaneous renal artery revascularization was undertaken. The occluded segment was successfully revascularisated by stent implantation, resulting in complete restoration of arterial patency. Blood pressure normalized promptly after the procedure, allowing significant down-titration of antihypertensive therapy. Renal function improved markedly within two weeks and remained stable during long-term follow-up. Discussion Chronic total renal artery occlusion does not invariably reflect irreversible renal damage. In selected patients with preserved renal anatomy, collateral circulation, and viable parenchyma, endovascular revascularization may lead to sustained improvements in blood pressure control and renal function.
| Reference Key |
openalex_W7162465711
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Doğancan Çeneli, Tezel Kovanci, Kadir Bıyıklı, Neşri Danışman, Faruk Akalin |
| Journal | European Heart Journal - Case Reports |
| Year | 2026 |
| DOI |
10.1093/ehjcr/ytag373
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.