ArticlePediatric nephrology (Berlin, Germany)2016
Remedial operations for failed endovascular therapy of 32 renal artery stenoses in 24 children.
Article in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 39 citations in OpenAlex.
- Aorto-Renal Dysplasia in Childhood: The Overlap of Neurofibromatosis Type 1 and Pediatric Renovascular Hypertension.Current hypertension reports · 2026Review
- Pediatric Renovascular Hypertension: Diagnosis and Management.Seminars in interventional radiology · 2025Review
- Early experience with renal autotransplant for renal artery stenosis in a 6-year-old patient with neurofibromatosis type 1: a case report.Journal of medical case reports · 2025Article
- Pediatric Renovascular Hypertension: A Pediatric Interventional Radiologist's Perspective.The Indian journal of radiology & imaging · 2023Review
- Timing of procedural interventions in childhood renovascular hypertension.Pediatric nephrology (Berlin, Germany) · 2021Article
- Diagnostic sensitivity and specificity of CT angiography for renal artery stenosis in children.Pediatric radiology · 2021Article
- Renovascular hypertension in children.CVIR endovascular · 2021Review
- Histologic and morphologic character of pediatric renal artery occlusive disease.Journal of vascular surgery · 2021Article
- Surgical management of pediatric renin-mediated hypertension secondary to renal artery occlusive disease and abdominal aortic coarctation.Journal of vascular surgery · 2020Article
- Article
- Renal autotransplantation for the management of renal artery in-stent restenosis in an adult patient with Takayasu arteritis.BMJ case reports · 2018Article
- Renovascular hypertension: results in adulthood of renal autotransplantation performed in children.Pediatric nephrology (Berlin, Germany) · 2017Article
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Authors and funding
9 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous transluminal angioplasty (PTA) for the treatment of pediatric renovascular hypertension (RVH) in contemporary practice is accompanied with ill-defined complications. This study examines the mode of pediatric renal PTA failures and the results of their surgical management.
methodsTwenty-four children underwent remedial operations at the University of Michigan from 1996 to 2014 for failures of renal PTA. Their clinical courses were retrospectively reviewed and results analyzed.
resultsRenal PTA of 32 arteries, including 13 with stenting, was performed for severe RVH in 12 boys and 12 girls, having a mean age of 9.3 years. Developmental ostial stenoses affected 22 children. PTA failures included: 27 restenoses and five thromboses. Remedial operations included: 13 renal artery-aortic reimplantations, one segmental renal artery-main renal artery reimplantation, ten aortorenal bypasses, one arterioplasty, one iliorenal bypass, and six nephrectomies for unreconstructable arteries; the latter all in children younger than 10 years. Follow-up averaged 2.1 years. Postoperatively, hypertension was cured, improved, or unchanged in 25, 54, and 21 %, respectively. There was no perioperative renal failure or mortality.
conclusionsRenal PTA for the treatment of pediatric RVH due to ostial disease may be complicated by failures requiring complex remedial operations or nephrectomy, the latter usually affecting younger children.
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