Interventions for pediatric renovascular hypertension

Publication Date

2014

Journal Title

Curr Hypertens Rep

Abstract

Renovascular disease is a cause of hypertension in 10 % to 15 % of prepubertal children. Interventions to address hypertension and causes of renovascular disease continue to advance. Successful interventions to treat renovascular disease include medical, angiographic, and surgical means, used alone or, more often, as combination therapy. Medical therapy is used to control the blood pressure prior to further intervention or in specific instances as long-term single therapy. Judicious use of percutaneous angioplasty and surgical intervention is usually successful in children with renal artery stenosis, although up to two-thirds of children will remain on antihypertensive medication after the procedure. Outcomes of combination therapy will continue to improve with advances in the use of antihypertensive medication in children, improvements in percutaneous angiography techniques, and progress in vascular surgical expertise.

Volume Number

16

Issue Number

4

Pages

422

Document Type

Article

EPub Date

2014/02/14

Status

Faculty

Facility

School of Medicine

Primary Department

General Pediatrics

PMID

24522941

DOI

10.1007/s11906-014-0422-3

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