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Renal Artery Stenosis, Pediatric

Reviewed 10/2018
 


BASICS

DESCRIPTION

Narrowing of one or both renal arteries and/or their more distal branches, resulting in decreased perfusion, increased renin release, increased vascular resistance, and systemic hype...

DIAGNOSIS

HISTORY

  • Ask about prior BP determinations, family history of hypertension, previous renal disease, symptoms of hypertension, and preexisting conditions associated with RAS.

  • Signs and symptoms:

    • ...

TREATMENT

Treat children who are symptomatic immediately (e.g., severe headaches, seizures, blurred vision, facial palsy). 

GENERAL MEASURES

  • If RAS is suspected, begin the diagnostic evaluation and phar...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • The child’s BP must be followed closely, both before and after the angioplasty. Response to angioplasty may be immediate but may require continued antihypertensiv...

ADDITIONAL READING

  • König K, Gellermann J, Querfeld U, et al. Treatment of severe renal artery stenosis by percutaneous transluminal renal angioplasty and stent implantation: review of the pediatric ex...

CODES

ICD9

  • 440.1 Atherosclerosis of renal artery

  • 747.62 Renal vessel anomaly

  • 405.91 Unspecified renovascular hypertension

  • 447.3 Hyperplasia of renal artery

ICD10

  • I70.1 Atherosclerosis of renal artery

  • Q27.1 C...

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