Bilateral stenting of renal arteries as a treatment for vasorenal hypertension and chronic kidney disease. Clinical case and literature review

Abstract

The purpose — to analyze current data on renal artery stenting in vasorenal hypertension, ischemic nephropathy, and end-stage renal failure; to consider a clinical case. Material and methods. A clinical case is presented of bilateral stenting of the renal arteries in a patient with vasorenal hypertension, chronic kidney disease of the fifth degree in a multidisciplinary hospital with a favorable course. The article describes the clinical results after endovascular intervention, a literature review on the management and selection of patients with renal artery stenosis for revascularization. Results. After simultaneous bilateral stenting of the renal arteries in a patient with end-stage renal insufficiency, renal function returned to normal; the patient stopped the sessions of programmed hemodialysis. Conclusions. Stenting of renal arteries can normalize the kidney function even in the terminal stage of chronic kidney disease. There are no clear clinical recommendations for the selection of patients for renal arteries endovascular stenting in the terminal stage of chronic kidney disease. The tactic of simultaneous bilateral stenting was obviously justified in this clinical case.