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hypertension bilateral nephrectomy

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https://www.readbyqxmd.com/read/27580765/a-case-of-posterior-reversible-leukoencephalopathy-syndrome-caused-by-fibromuscular-dysplasia
#1
Fumi Kobayashi, Hidetaka Kato, Miki Suzuki, Ryosuke Usui, Minako Koike, Takashi Ohashi
A 23-year-old woman presented with disturbance of consciousness and seizure. Her blood pressure was remarkably high, and brain magnetic resonance imaging (MRI) showed high-intensity T2 signals in the bilateral basal ganglia, corpus callosum, cerebral white matter, and cortex. With the administration of angiotensin II receptor blocker, the symptoms and MRI findings improved, along with normalization of blood pressure, and a diagnosis of posterior reversible leukoencephalopathy syndrome (PRES) was made. Plasma renin activity was high, and the right kidney was severely atrophic...
September 29, 2016: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/27516040/renal-artery-bilateral-arteriosclerosis-cause-of-resistant-hypertension-in-hemodialysed-patients
#2
Andrei Niculae, Ileana Peride, Adriana Marinescu-Paninopol, Camelia Doina Vrabie, Octav Ginghină, Cristian Radu Jecan, Ovidiu Gabriel Bratu
We present the case of a 57-year-old hemodialysed male patient known with severe hypertension resistant to six classes of hypotensive medication, in maximal doses, correlated with increased ultrafiltration during the hemodialysis session. In this case, bilateral nephrectomy was performed as final treatment option for malignant hypertension, and histopathological examination of both kidneys emphasized arteriosclerosis lesions. The results consisted in better hypertension management, with a reduction in both the number and doses of antihypertensive drugs...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27188117/-perioperative-blood-pressure-changes-in-a-patient-undergoing-one-stage-bilateral-nephrectomy-for-treatment-resistant-hypertension
#3
Yohei Iwasaki, Junichi Haruna, Keiji Sakubata, Machiko Hashimoto, Yayoi Tanaka, Osamu Uemura, Yoshiko Hibi
We describe our experience with a 15-year-old girl receiving anesthesia during one-stage bilateral nephrectomy for treatment-resistant hypertension due to chronic renal failure. Approximately 10 minutes after removal of both kidneys, a reduction in blood pressure associated with decreased cardiac contractile force was observed and this necessitated catecholamine administration. However, blood pressure was sufficiently improved approximately 60 minutes later, and catecholamine administration was not necessary after she awoke from anesthesia...
April 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/27157230/an-80-year-old-man-with-dyspnea-and-bilateral-pleural-effusions-after-partial-nephrectomy-for-renal-cell-carcinoma
#4
Anupam Gupta, Mahsan Farokhi, Sapna Shah, Terence McGarry, Martin Warshawsky, Oleg Epelbaum
An 80-year-old man presented because of superficial head trauma sustained after falling from bed. On review of systems, he reported worsening dyspnea on exertion, nonproductive cough, and weight loss over the preceding 2 to 3 months. There was no report of chest pain or leg swelling. He had a past medical history of hypertension, coronary artery disease, subclinical hypothyroidism, and renal cell carcinoma treated with partial right nephrectomy approximately 1 year before this presentation. Two months earlier he had been evaluated in the dermatology clinic for painful, dystrophic fingernails...
May 2016: Chest
https://www.readbyqxmd.com/read/26714737/association-of-urine-dipstick-proteinuria-and-postoperative-renal-function-following-robotic-partial-nephrectomy
#5
Louis S Krane, Matthew G Heavner, Charles Peyton, James T Rague, Ashok K Hemal
INTRODUCTION: In patients with normal estimated renal function before robot-assisted partial nephrectomy (RPN), there is still a risk for de Novo chronic kidney disease (CKD). We assessed the role of dipstick spot proteinuria in risk stratifying patients for CKD progression. MATERIALS AND METHODS: From our prospectively maintained, institutional review board-approved database of patients undergoing RPN, we queried those with estimated glomerular filtration rate (eGFR) >60 and bilateral functional units...
May 2016: Journal of Endourology
https://www.readbyqxmd.com/read/26663437/recovery-of-renal-function-after-radical-nephrectomy-and-risk-factors-for-postoperative-severe-renal-impairment-a-japanese-multicenter-longitudinal-study
#6
Naoko Kawamura, Minato Yokoyama, Yasuhisa Fujii, Junichiro Ishioka, Noboru Numao, Yoh Matsuoka, Kazutaka Saito, Chizuru Arisawa, Tetsuo Okuno, Akira Noro, Shinji Morimoto, Kazunori Kihara
OBJECTIVES: To investigate longitudinal changes in renal function after radical nephrectomy, and to explore risk factors of postoperative severe renal impairment in a Japanese multicenter cohort. METHODS: The present retrospective study included 701 patients who had no metastasis, end-stage kidney disease or bilateral kidney cancer, who underwent radical nephrectomy and who were followed up for at least 1 year. The longitudinal change in postoperative renal function during a 10-year follow-up period was evaluated according to the presence or absence of potential risk factors including greater age, chronic kidney disease, hypertension, diabetes mellitus and cardiovascular disease...
March 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/26516602/robotic-sequential-right-adrenalectomy-and-zero-ischemia-left-partial-nephrectomy-in-a-patient-with-synchronous-pheochromocytoma-and-renal-cell-carcinoma
#7
Abdullah Erdem Canda, Özer Ural Çakıcı, Kemal Ener, Ali Fuat Atmaca
Currently, most renal masses are detected incidentally while still small in size because of the widespread use of radiological imaging, and most pheochromocytomas are localized in the adrenal glands as unilateral lesions. A 5 × 4-cm right adrenal mass and a 19 × 13-mm exophytic left renal mass were synchronously detected by contrast enhancement on computed tomography and magnetic resonance imaging in a 47-year-old male with hypertension. The patient's preoperative serum and 24-h urine catecholamine levels were elevated...
September 2015: Turkish Journal of Urology
https://www.readbyqxmd.com/read/26437121/associated-extrarenal-vascular-diseases-may-complicate-the-treatment-and-outcome-of-renovascular-hypertension
#8
Amira Peco-Antić, Nataša Stajić, Zoran Krstić, Radovan Bogdanović, Gordana Miloševski-Lomić, Milan Đukić, Dušan Paripović
AIM: This studied reviewed renovascular hypertension (RVH) due to renal artery stenosis (RAS) in two Serbian paediatric centres from 2001 to 2013. METHODS: The patients' demographic data, underlying syndromes, blood pressure (BP), antihypertensive treatments and outcomes were reviewed. RESULTS: The incidence of RVH was 1.9 per million children per year during the study period, and there were 25 patients with RAS, aged 10.4 ± 5.2 years. At presentation, their mean blood pressure (BP) standard deviation scores were 6...
January 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26348394/bilateral-native-nephrectomy-for-refractory-hypertension-in-kidney-transplant-and-kidney-pancreas-transplant-patients
#9
Mark J Lerman, Sandra Hinton, Ronald Aronoff
Hypertension is common in renal transplant patients and sometimes very difficult to control. Refractory hypertension can adversely affect renal graft and patient survival. Many antihypertensive medications are not well tolerated or can have important drug interactions with immunosuppressive medications. These drugs can cause significant side effects including fluid depletion, azotemia, electrolyte imbalance, and anemia. Bilateral native nephrectomy in renal transplant patients has been reported to be beneficial in controlling severe hypertension...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26273441/paradoxical-increase-in-blood-pressure-following-bilateral-native-nephrectomy
#10
Balgees A Ajlan, Osama Y Safdar, Mohammed Shalabi, Jameela A Kari
Hypertension with Chronic kidney disease is often difficult to control medically. In such patients, nephrectomy can help to control blood pressure (BP). We describe a case of a 6-year-old boy with autosomal recessive polycystic kidney disease who showed a paradoxical increase in BP following bilateral nephrectomy.
July 2015: Clinical Case Reports
https://www.readbyqxmd.com/read/26178556/renal-artery-stenosis-an-unusual-etiology-of-hypertensive-encephalopathy-in-a-child-with-fanconi-anemia
#11
Radheshyam Purkait, Aritra Mukherji, Sucharita Datta, Ramchandra Bhadra
A 9-year-old girl, diagnosed case of Fanconi anemia, presented with generalized convulsion with altered sensorium. She had fever, severe pallor, sinus tachycardia, blood pressure of 180/120 mmHg in both upper and lower limb, pan-systolic murmur of grade 2/6, abdominal bruit and bilateral papilledema. A provisional diagnosis of hypertensive encephalopathy was made and managed with continuous labetalol infusion. Detailed evaluation including magnetic resonance angiography of renal artery detected underlying atrophic and non-functioning right kidney secondary to severe renal artery stenosis on the same side...
July 2015: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/26084817/a-rare-case-of-juvenile-hypertension-coexistence-of-type-2-multiple-endocrine-neoplasia-related-bilateral-pheochromocytoma-and-reninoma-in-a-young-patient-with-ace-gene-polymorphism
#12
Rosa Maria Paragliola, Ettore Capoluongo, Francesco Torino, Angelo Minucci, Giulia Canu, Alessandro Prete, Alfredo Pontecorvi, Salvatore Maria Corsello
BACKGROUND: Pheochromocytoma and reninoma represent two rare diseases causing hypertension. We here reported a rare case of association between type 2 multiple endocrine neoplasia related bilateral pheochromocytoma and reninoma. Moreover, polymorphism of ACE gene, which is known to be related to an increase of cardiovascular risk, has been found in the same patient. CASE PRESENTATION: A 24 year old Caucasian man came to our attention for severe hypertension, resistant to anti-hypertensive polytherapy...
2015: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/25949481/therapy-refractory-hypertension-in-haemodialysis-patients-has-become-a-rare-indication-for-bilateral-nephrectomy
#13
Georg Biesenbach, Gert Bodlaj, Herwig Pieringer
No abstract text is available yet for this article.
December 2010: NDT Plus
https://www.readbyqxmd.com/read/25893525/long-term-renal-function-in-unilateral-non-syndromic-renal-tumor-survivors-treated-according-to-international-society-of-pediatric-oncology-protocols
#14
Amalia Schiavetti, Pierluigi Altavista, Laura De Luca, Gianmarco Andreoli, Giacomina Megaro, Paolo Versacci
BACKGROUND: The risk of renal impairment among survivors of childhood unilateral non-syndromic renal tumors (RTs) is not well defined. We evaluated the prevalence of and possible risk factors for renal impairment by estimating Glomerular Filtration Rate (eGFR) categories and chronic kidney disease (CKD) according to Kidney Disease: Improving Global Outcomes guidelines. PROCEDURE: Since 1978, 82 patients were treated for RT, according to the International Society of Pediatric Oncology protocols in a single oncology unit...
September 2015: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/25737759/simultaneous-bilateral-laparoscopic-nephrectomy-in-a-child-with-peritoneal-catheter-dialysis-using-a-4-port-trans-abdominal-technique
#15
Claudio De Carli, Luis A Guerra
We present the case of an 11-year-old girl with end-stage renal disease and a previously-inserted peritoneal dialysis catheter who underwent a bilateral transperitoneal laparoscopic nephrectomy for hypertension refractory to medical treatment. We employed a 4-port transperitoneal technique using the first detached kidney to occlude the ipsilateral abdominal wall access port during the contralateral nephrectomy to avoid gas/fluid leak and to facilitate location of the first kidney at the end of the surgery. The patient had no morbidity and was able to resume use of the peritoneal dialysis catheter 5 days after the surgery...
January 2015: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/25657563/pheochromocytoma-associated-with-von-hippel-lindau-disease-in-a-pakistani-family
#16
Imran K Jalbani, Syed Muhammad Nazim, Farhat Abbas
OBJECTIVES: The aim was to study the presentation, disease characteristics, operative outcome, and prognosis in patients with familial Pheochromocytoma associated with von Hippel-Lindau (VHL) disease. MATERIALS AND METHODS: There were six patients belonging to two generations of a single family who developed features of VHL over a period of 13 years and were treated at our institute. Patients' characteristics, that is, age, gender, presenting complaints and clinical signs, laboratory and biochemical evaluation, and the presence of associated conditions was gathered from medical records...
January 2015: Urology Annals
https://www.readbyqxmd.com/read/25645765/renal-transplantation-in-children-with-nephrotic-syndrome-in-the-first-year-of-life
#17
S Martínez Mejía, A Alonso Melgar, M Melgosa Hijosa, C Fernandez Camblor, A Peña Carrión, C García Meseguer, L Espinosa Román
OBJECTIVE: The aim of this work was to analyze the evolution of the 1st renal transplantation in children with nephrotic syndrome in the 1st year of life (NSFL). METHODS: In this retrospective study of 15 patients (8 women and 7 men) with NSFL receiving transplants from 1989 to 2013, 9 had NS of Finnish type, 4 diffuse mesangial sclerosis, 1 minimal changes, and 1 collapsing glomerulopathy. We analyzed the clinical and analytic situation at 4 time points: before dialysis, before transplantation, 3 months after transplantation, and long-term evolution...
January 2015: Transplantation Proceedings
https://www.readbyqxmd.com/read/25515790/renalase-is-removed-by-kidneys-and-during-dialysis-excess-related-to-ckd-complications
#18
Jolanta Malyszko, Ewa Koc-Zorawska, Marcin Zorawski, Piotr Kozminski, Edyta Zbroch, Jacek Rysz, Maciej Banach, Jacek S Malyszko
BACKGROUND: The most common complications of chronic kidney disease (CKD) are hypertension and cardiovascular (CV) disorders. Renalase is produced and released by the kidney and also cardiomyocytes. Renalase deficiency was claimed to be responsible for hypertension and CV complication in CKD. There are contradictory data about serum renalase because of low activity and high levels revealed in hypertensive patients with CKD. We assessed serum renalase concentration in objects with CKD after one-side and both-side nephrectomy (on haemodialysis [HD]), or hemodiafiltration (HDF), in urine and ultrafiltrate in hemodialysis objects...
2015: Current Vascular Pharmacology
https://www.readbyqxmd.com/read/25457995/bilateral-nephrectomy-for-uncontrolled-hypertension-in-hemodialysis-patient-a-forgotten-option
#19
M Knehtl, S Bevc, R Hojs, G Hlebič, R Ekart
Resistant arterial hypertension in chronic hemodialysis patients is still a therapeutical challenge despite the development of modern antihypertensive drugs and dialysis procedures. Bilateral nephrectomy seems to be a forgotten option, although it has given good results. We present a case of a 39-year-old female chronic hemodialysis patient, in whom the problem of uncontrolled renal parenchymal hypertension remained despite multiple drug therapy and the ultrafiltration intensification. The problem was solved by bilateral nephrectomy...
December 2014: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/25380876/no-effect-of-pretransplantation-bilateral-nephrectomy-on-the-resistive-indices-measured-in-the-kidney-allograft
#20
A Kujawa-Szewieczek, A Kolonko, J Chudek, A Więcek
BACKGROUND: The cirrhotic kidney is the cause of sympathetic nervous system and the renin-angiotensin system activation leading to increased vascular resistance and arterial hypertension. The impact of unilateral or bilateral nephrectomy (UN or BN) performed before kidney transplantation on kidney graft intrarenal resistance has not been assessed yet. The aim of this study is to assess the intrarenal resistance parameters measured by Doppler ultrasound in the transplanted kidney in either nephrectomized or non-nephrectomized kidney transplant recipients...
October 2014: Transplantation Proceedings
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