Grand Rounds in Pediatric Nephrology – an ISN-IPNA Sister Centers initiative: Renovascular hypertension in children
- 2:00 PM CEST
Primary arterial hypertension is an emerging problem in the pediatric population and is often seen in obese children. Among the patients with secondary hypertension, renovascular causes are the third most common cause and are the cause of high blood pressure in 5 – 25% of hypertensive children. Renovascular hypertension is most associated with fibromuscular dysplasia, starts early in life, and can be asymptomatic for years making it challenging for diagnosis. We will present a patient with renovascular hypertension who initially started treatment in Serbia and continued at Great Ormond Street Hospital for Children where the patient was subsequently, successfully treated.
Learning objectives:
- Demonstrate effective techniques for presenting and conducting investigations on patients diagnosed with renovascular hypertension.
- Evaluate and compare the medical, endovascular, and surgical treatment options available for managing pediatric patients afflicted with renovascular hypertension.
- Analyze the clinical outcomes and devise strategies for long-term follow-up care in pediatric patients undergoing treatment for renovascular hypertension.
Further reading:
- Patel P. and Stojanovic J. Diagnosis and treatment of renovascular disease. Roentgenol. 2019 Oct;54(4):367-383.
- Kurt-Sukur E, Brennan E, Davis M, Forma C, Hamilton G, Kessaris N, Marks S, McLaren C, Minhas K, Patel P, Roebuck D, Stojanovic J, Stuart S, Tullus K. Presentation, treatment, and outcome of renovascular hypertension below 2 years of age. Eur J Pediatr. 2022 Sep;181(9):3367-3375.PMID:35792951
- Redhead ECG, Paessler A, Arslan Z, Patel P, Minhas K, Forman C, Hollis P, Lava S, Ionescu F, Manuel D, Ray S, Kessaris N, Giardini A, Ratnamma V, Dobby N, Tullus K, Simmonds J, Stojanovic J. Pediatr Nephrol. Cardiovascular outcomes improve in children with renovascular hypertension following endovascular and surgical interventions 2024 Feb;39(2):521-530. PMID:37658875
- Arslan Z, Patel P, Minhas K, Tullus K, Stojanovic J. Importance of the arc of Riolan in children with severe middle aortic syndrome. Dis Child. 2021 April 14
- Mudalige N, Ranasinghe C, Stojanovic J. The Clinical and Radiological Cerebrovascular Abnormalities Associated with Renovascular Hypertension in Children: A systematic review. Nephrol. 2021 Jul 8
- Tullus K, Brennan E, Hamilton G, Lord R, McLaren CA, Marks SD, Roebuck DJ. Renovascular hypertension in children. Lancet. 2008 Apr 26;371(9622):1453-63. doi: 10.1016/S0140-6736(08)60626-1. PMID: 18440428.
- Salice P, Mircoli L, Butera G, Burdick L, Borzani I, Mastrangelo A, Ardissino G, Beretta C, Ferraresso M, Ughi L, Montini G, Carugo S, Morganti A. Percutaneous cutting balloon angioplasty for the treatment of renovascular hypertension in children and adolescents. J Hypertens. 2022 Oct 1;40(10):1902-1908. doi: 10.1097/HJH.0000000000003162. Epub 2022 Aug 18. PMID: 35983863.
- de Oliveira Campos JL, Bitencourt L, Pedrosa AL, Silva DF, Lin FJJ, de Oliveira Dias LT, Simões E Silva AC. Renovascular hypertension in pediatric patients: update on diagnosis and management. Pediatr Nephrol. 2021 Dec;36(12):3853-3868. doi: 10.1007/s00467-021-05063-2. Epub 2021 Apr 13. PMID: 33851262.
Moderator
Eugene Chan (Hong Kong)
Speakers
Natasa Stajic (Serbia)
Jelena Stojanovic (UK)
Marina Peric (Serbia)