AI Article Synopsis

  • A 65-year-old man experienced a significant drop in kidney function and high blood pressure, leading to a diagnosis of renovascular hypertension.
  • He underwent a successful procedure called percutaneous transluminal angioplasty and stenting, which resolved his blood pressure issues and improved kidney function.
  • The case highlighted potential biomarkers, like renal stem cells and resistive index, for future studies on kidney recovery after ischemic events.

Article Abstract

We report the case of a 65-year-old man with acute GFR decline to 37 mL/min and uncontrolled high blood pressure. He was suspected for renovascular hypertension and underwent a renal color Doppler ultrasound scan that detected a bilateral atherosclerotic renal artery stenosis. A digital selective angiography by percutaneous transluminal angioplasty and stenting (PTRAs) was successfully performed. Blood pressure rapidly normalized, GFR increased within a few days, and proteinuria disappeared thereafter. These clinical goals were accompanied by a significant increase of circulating renal stem cells (RSC) and a slight increase of resistive index (RI) in both kidneys. This single observation suggests the need for extensive studies aimed at evaluating the predictive power of RI and RSC in detecting post-ischemic renal repair mechanisms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465874PMC
http://dx.doi.org/10.3390/medicina57090944DOI Listing

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