Percutaneous Transluminal Angioplasty for Treatment of Renovascular Hypertension

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Abstract
Four patients with typical renovascular hypertension due to atherosclerotic stenosis (3 patients) and near occlusion (1 patient) were treated with percutaneous transluminal angioplasty (PTA). Two patients had malignant hypertension by clinical standards. All had significant reduction in blood pressure after angioplasty, resulting in a normotensive state or management with significantly less antihypertensive medication. Patency and normal renin levels were achieved within 2 mo. in 2 patients. Clinical follow-up documented continued reduction in blood pressure. Advantages of the procedure include local anesthesia relatively little discomfort, repeatability and the fact that surgery is not precluded if angioplasty is unsuccessful.

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