Renoparenchymal Hypertension - Embolisation Treatment

Professor P. Bosnjakovic
Institute of Radiology Clinical Centre, Nis, Serbia & Montenegro

Patient History

  • Male patient with hypertension, poorly controlled and on medication therapy.
  • Non-functional left kidney.

Procedure

  • Left kidney embolised using 2ml Bead Block.
Bead Block Case 7 fig 1

Left kidney pre-embolisation

Bead Block Case 7 fig 2

Left kidney post-embolisation

 

Outcome

  • Ultrasound (i) shows significantly reduced kidney size.
  • Angiogram (ii) shows reduced diameter of the left renal artery.
Bead Block Case 7 fig 3

i. One month post-embolisation

Bead Block Case 7 fig 4

ii. Two months post-embolisation

 

Clinical Outcome

  • Hypertension controlled well with one-third of medication compared with dose required pre-intervention.