Role of drug-eluting stent on Takayasu arteritis with renal artery stenosis

  • I Ketut Alit Utamayasa Airlangga University
  • Mia Puspitasari
  • Taufiq Hidayat
  • Mahrus Abdur Rahman
Keywords: Takayasu arteritis with renal artery stenosis; renovascular hypertension; drug-eluting stent

Abstract

Takayasu arteritis (TA) is defined as granulomatous inflammation of large arteries involving the aorta and its primary branches. Takayasu arteritis with renal artery stenosis (TARAS) is a common cause of pediatric renovascular hypertension. The main purposes of TARAS management are to improve high blood pressure and recover renal function. When general medication fails to improve symptoms, renal revascularization may be attempted.  Implantation of a drug-eluting stent (DES) has been used as an alternative strategy for pediatric renal revascularization. Here, we report on a 10-year-old, female, Javanese patient with bilateral TARAS who underwent DES implantation. Her clinical presentation was hypertensive crisis and worsened renal function. Bilateral renal artery DES implantation was performed successfully without complications. The child’s blood pressure was controlled using two anti-hypertensive medications after DES implantation and her renal function recovered. Dual anti-platelet therapy was given to minimize the risk of stent thrombosis.

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Published
2022-12-05
How to Cite
1.
Utamayasa IK, Puspitasari M, Hidayat T, Rahman M. Role of drug-eluting stent on Takayasu arteritis with renal artery stenosis. PI [Internet]. 5Dec.2022 [cited 28Mar.2024];62(6):422-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2544
Section
Case Report
Received 2020-11-27
Accepted 2022-12-05
Published 2022-12-05