Renal arteriovenous fistulas as a cause of refractory hypertension

The prevalence of congenital renal arteriovenous malformations is low; for this reason, they are a very uncommon cause of arterial hypertension. However, arterial hypertension due to congenital renal arteriovenous malformations is potentially curable; thus, it is important to reach the correct diagn...

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Bibliographic Details
Published inRadiología Vol. 51; no. 5; p. 500
Main Authors Argüelles García, B, Medrano, S, Meilán Martínez, A, Vega, F
Format Journal Article
LanguageSpanish
Published Spain 01.09.2009
Subjects
Adult
Arteriovenous Fistula - complications
Humans
Hypertension, Renovascular - etiology
Male
Renal Artery
Renal Veins
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Summary:The prevalence of congenital renal arteriovenous malformations is low; for this reason, they are a very uncommon cause of arterial hypertension. However, arterial hypertension due to congenital renal arteriovenous malformations is potentially curable; thus, it is important to reach the correct diagnosis so that the natural course of the hypertension refractory to drug therapy can be modified. We present a case of a patient with bilateral congenital renal arteriovenous fistulas that were treated with two different embolization techniques in function of the morphology of the fistula and the intensity of the flow; treatment achieved control of the clinical symptoms of hypertension.
ISSN:0033-8338
DOI:10.1016/j.rx.2009.04.004