Transluminal angioplasty with a balloon catheter is effective to dilate renal artery stenosis (RAS) caused by fibromuscular dysplasia (FMD), but lesions resistant to the angioplasty exist. In this report, we describe the case of a young woman with RAS of FMD that was difficult to dilate even by cutting-balloon angioplasty. To facilitate the formation of a smooth intimal covering at the site of angioplasty, we administered losartan, an angiotensin receptor blocker, for 4 months after the angioplasty. Although re-stenosis was detected at 5 months after the angioplasty, the normotensive state continued without antihypertensives and the re-stenosis gradually dilated afterwards. The present case suggests the possibility of remodeling the renal artery during the normotensive state by administering losartan after the angioplasty.
Dilation of renal artery stenosis after administration of losartan. Publishing Authors By Initials
Dilation of renal artery stenosis after administration of losartan. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Hypertension research : official journal of the Ja
VOLUME: 30
Page Numbers: 999-1002
Journal Abbreviation: Hypertens. Res.
ISSN: 0916-9636
DAY: 30
MONTH: Oct
YEAR: 2007
Dilation of renal artery stenosis after administration of losartan. Information
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LANGUAGE: eng
NlmUniqueID: 9307690
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AFFILIATION: Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan. mtanemoto-tky@umin.ac.jp
Country: Japan
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MEDLINETA: Hypertens Res
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