Successful Percutaneous Transluminal Renal Angioplasty for Bilateral Renal Artery Stenosis due to Fibromuscular Dysplasia in a Young Woman with Renovascular Hypertension.

A 21-year-old woman with renovascular hypertension secondary to bilateral renal artery stenosis secondary to fibromuscular dysplasia was admitted to our hospital. Successful percutaneous renal angioplasty was performed for the bilateral stenotic renal arteries using intravascular ultrasound guidance to determine the balloon size and pressure wire to confirm the improvement in pressure differences and avoid stent implantation. Her blood pressure improved from 175/113 to 100/70 mmHg without medication.