JACC. Case reports · 2026
Renal Artery Stenosis Detected Early Through Routine Health Checkups.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kishimoto Shinji, Maruhashi Tatsuya, Kajikawa Masato, Mizobuchi Aya, Harada Takahiro, Yamaji Takayuki, Nakano Yukiko, Yusoff Farina Mohamad, Higashi Yukihito
Аннотация
BACKGROUND: Routine health checkups may contribute to the early detection of renal artery stenosis and enable timely intervention before irreversible renal damage occurs in patients with renovascular hypertension.
CASE SUMMARY: A 66-year-old man undergoing an annual health checkup was found to have progressive renal dysfunction over 1 year with increasing home blood pressure. Imaging revealed severe (90%) left renal artery stenosis without renal atrophy. Preserved renal size and cortical structure, low intrarenal resistive index, and minimal albuminuria indicated retained renal viability. Percutaneous transluminal renal angioplasty with stent implantation resulted in blood pressure reduction and stabilization of renal function at the 6-month follow-up.
DISCUSSION: This case demonstrates the value of combining routine health checkups with viability-based assessments to guide revascularization.
TAKE-HOME MESSAGE: Early detection of renal artery stenosis through routine health checkups and renal viability assessment may enable effective revascularization in selected patients.
CASE SUMMARY: A 66-year-old man undergoing an annual health checkup was found to have progressive renal dysfunction over 1 year with increasing home blood pressure. Imaging revealed severe (90%) left renal artery stenosis without renal atrophy. Preserved renal size and cortical structure, low intrarenal resistive index, and minimal albuminuria indicated retained renal viability. Percutaneous transluminal renal angioplasty with stent implantation resulted in blood pressure reduction and stabilization of renal function at the 6-month follow-up.
DISCUSSION: This case demonstrates the value of combining routine health checkups with viability-based assessments to guide revascularization.
TAKE-HOME MESSAGE: Early detection of renal artery stenosis through routine health checkups and renal viability assessment may enable effective revascularization in selected patients.