array:20 [
  "pii" => "X2013251408005505"
  "issn" => "20132514"
  "doi" => " "
  "estado" => "S300"
  "fechaPublicacion" => "2008-08-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2008;28:471-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3713
    "formatos" => array:3 [
      "EPUB" => 285
      "HTML" => 2895
      "PDF" => 533
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699508005508"
      "issn" => "02116995"
      "doi" => " "
      "estado" => "S300"
      "fechaPublicacion" => "2008-08-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2008;28:471-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 10497
        "formatos" => array:3 [
          "EPUB" => 295
          "HTML" => 9322
          "PDF" => 880
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "titulo" => "Estenosis de arteria renal segmentaria causante de hipertensión renovascular"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "471"
            "paginaFinal" => "473"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Segmental renal artery stenosis causing renovascular hypertension"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Benet Gómez-Moya, Esteban Hernández-Osma, Francesc Pañella-Agustí, Vicente Martín Paredero"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Benet"
                "apellidos" => "Gómez-Moya"
              ]
              1 => array:2 [
                "nombre" => "Esteban"
                "apellidos" => "Hernández-Osma"
              ]
              2 => array:2 [
                "nombre" => "Francesc"
                "apellidos" => "Pañella-Agustí"
              ]
              3 => array:2 [
                "nombre" => "Vicente"
                "apellidos" => "Martín Paredero"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251408005505"
          "doi" => " "
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408005505?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699508005508?idApp=UINPBA000064"
      "url" => "/02116995/0000002800000004/v0_201502091416/X0211699508005508/v0_201502091417/es/main.assets"
    ]
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251408005513"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2008-08-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2008;28:470-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3776
      "formatos" => array:3 [
        "EPUB" => 279
        "HTML" => 2928
        "PDF" => 569
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "titulo" => "Sepsis induced by hafnia alvei in a kidney transplant patient"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "470"
          "paginaFinal" => "471"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Sepsis por hafnia alvei en una paciente con trasplante renal"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Manuel Heras, Rosa Sánchez, Maria José Fernández-Reyes, Susana Hernando"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Heras"
            ]
            1 => array:2 [
              "nombre" => "Rosa"
              "apellidos" => "Sánchez"
            ]
            2 => array:2 [
              "nombre" => "Maria José"
              "apellidos" => "Fernández-Reyes"
            ]
            3 => array:2 [
              "nombre" => "Susana"
              "apellidos" => "Hernando"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699508005516"
        "doi" => " "
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699508005516?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408005513?idApp=UINPBA000064"
    "url" => "/20132514/0000002800000004/v0_201502091636/X2013251408005513/v0_201502091636/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Segmental renal artery stenosis causing renovascular hypertension"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "471"
        "paginaFinal" => "473"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Benet Gómez-Moya, Esteban Hernández-Osma, Francesc Pañella-Agustí, Vicente Martín Paredero"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Benet"
            "apellidos" => "Gómez-Moya"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:4 [
            "nombre" => "Esteban"
            "apellidos" => "Hern&#225;ndez-Osma"
            "email" => array:1 [
              0 => "31712eho&#64;comb&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Francesc"
            "apellidos" => "Pa&#241;ella-Agust&#237;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Vicente"
            "apellidos" => "Mart&#237;n Paredero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Angiología, Cirugía Vascular y Endovascular, Hospital Universitario Joan XXIII, Tarragona Tarragona España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Estenosis de arteria renal segmentaria causante de hipertensi&#243;n renovascular"
      ]
    ]
    "textoCompleto" => "To the editor&#58; Renovascular hypertension &#40;RVH&#41; is the most common form of secondary hypertension&#44; with a prevalence ranging from 5&#37;-15&#37;&#46;1 RVH is caused by stenosis of the renal artery of its branches that induces renal hypoperfusion leading to activation of the renin-angiotensin system and subsequent occurrence of hypertension&#46;2 Atherosclerotic disease is the most common cause of RVH&#44; and lesions usually occur in the first few centimeters of the renal artery and may involve a large area&#46; Fibromuscular disease is the most common cause of RVH in young women&#44; and diagnosis should be considered in people with early onset of severe hypertension&#44; though it is sometimes and incidental finding&#46; It is important that RVH is recognized&#44; because it responds well to surgical treatment&#46; These lesions often arise beyond the first few centimeters of the renal artery and may be associated to disease in more distal branches&#46; <br></br><br></br>We report the case of a 22-year-old female patient who attended the department of nephrology for arterial hypertension&#46; She had no remarkable personal or family history&#46; Physical examination revealed a sitting blood <br></br>pressure of 175&#47;100 mmHg and a heart rate of 76 beats per minute&#46; Examination was otherwise unremarkable&#46; Supplemental tests&#44; including complete blood count&#44; biochemistry&#44; urinary catecholamines&#44; urine sediment&#44; chest Xrays&#44; and electrocardiogram&#44; were normal&#46; Treatment was started with bisoprolol&#44; and an angio-MRI was requested for renal study&#46; At 3 months of treatment&#44; the patient showed a slight improvement in her blood pressure values &#40;160&#47;90 mmHg&#41;&#44; and angio-MRI revealed doubtful fibrodysplasia at left renal artery level&#46; Renal arteriography was therefore performed for confirmation&#46; Arteriography showed critical stenosis in the right renal segmental artery with collateral circulation and no significant lesions in left renal artery&#46; Angioplasty was performed on this stenosis using a 4 x 20 mm balloon catheter with good morphological result and disappearance of collateral circulation &#40;fig&#46; 1&#41;&#46; At 2 years of follow-up&#44; the patient has normal blood pressure values under no drug treatment&#46; <br></br><br></br>Fibromuscular dysplasia usually occurs in young women aged 15-50 years&#44; and the arterial sector usually affected are the distal 2&#47;3 of the renal artery&#46; RVH caused by involvement of renal artery branches is rare&#44; and in the reported cases the polar arteries3 or the accessory arteries4 were affected&#46; In our case&#44; RVH was caused by involvement of a main branch of the right renal artery&#46; RVH resulting from involvement of this segmental artery is an exceptional case&#46; As regards treatment&#44; advances in endovascular procedures in recent years have allowed for a high success rate in therapeutic management of these patients&#46; "
    "pdfFichero" => "P-E-S-A405-EN.pdf"
    "tienePdf" => true
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "La hipertensi&#243;n renovascular &#40;HRV&#41; es la forma de hipertensi&#243;n secundaria m&#225;s frecuente con una prevalencia que oscila entre el 5-15&#37; &#40;1&#41;&#46; Est&#225; provocada por una estenosis de la arteria renal&#44; o de sus ramas&#44; que provoca una hipoperfusi&#243;n renal con la consiguiente activaci&#243;n del sistema renina-angiotensina y posterior aparici&#243;n de la hipertensi&#243;n &#40;2&#41;&#46; La enfermedad ateroescler&#243;tica es la causa m&#225;s com&#250;n de HRV y las lesiones suelen presentarse en los primeros cent&#237;metros de la arteria renal pudiendo comprender una gran extensi&#243;n&#46; La enfermedad fibromuscular es la causa m&#225;s com&#250;n de HRV en mujeres j&#243;venes y el diagn&#243;stico debe ser considerado en alguien con establecimiento temprano&#44; hipertensi&#243;n severa&#44; aunque ocasionalmente es un hallazgo&#46; Es importante reconocerla&#44; ya que responde bien al tratamiento quir&#250;rgico&#46; Estas lesiones a menudo surgen m&#225;s all&#225; de los primeros cent&#237;metros de la arteria renal y pueden estar asociadas con enfermedad de las ramas m&#225;s distales&#46; "
      ]
      "en" => array:1 [
        "resumen" => "To the editor&#58; Renovascular hypertension &#40;RVH&#41; is the most common form of secondary hypertension&#44; with a prevalence ranging from 5&#37;-15&#37;&#46;1 RVH is caused by stenosis of the renal artery of its branches that induces renal hypoperfusion leading to activation of the renin-angiotensin system and subsequent occurrence of hypertension&#46;2 Atherosclerotic disease is the most common cause of RVH&#44; and lesions usually occur in the first few centimeters of the renal artery and may involve a large area&#46; Fibromuscular disease is the most common cause of RVH in young women&#44; and diagnosis should be considered in people with early onset of severe hypertension&#44; though it is sometimes and incidental finding&#46; It is important that RVH is recognized&#44; because it responds well to surgical treatment&#46; These lesions often arise beyond the first few centimeters of the renal artery and may be associated to disease in more distal branches&#46;"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "J.Menard J.P. Grunfeld. Hipertension Renovascular Tomo I 1982:189-202."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Strandness DE: Natural history of renal artey stenosis. Am JKidney Dis 24: 630-635, 1994."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "García-Gómez MC, Fernández-Fresnedo G, Sanz de Castro S, Arias M: Hipertensión arterial renovascular secundaria a estenosis de la arteria polar. Nefrología Vol XXII, n 1: 85-86, 2002"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cuxart M, Picazo M, Matas M, Canalias J, Nadal C, Falcó J: Hipertensión arterial y estenosis de la arteria renal accesoria. Nefrología Vol XXVII n 4: 509-510, 2007"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002800000004/v0_201502091636/X2013251408005505/v0_201502091636/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002800000004/v0_201502091636/X2013251408005505/v0_201502091636/en/P-E-S-A405-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408005505?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Segmental renal artery stenosis causing renovascular hypertension
Estenosis de arteria renal segmentaria causante de hipertensión renovascular
Benet Gómez-Moyaa, Esteban Hernández-Osmaa, Francesc Pañella-Agustía, Vicente Martín Parederoa
a Servicio de Angiología, Cirugía Vascular y Endovascular, Hospital Universitario Joan XXIII, Tarragona Tarragona España,
Read
7713
Times
was read the article
2148
Total PDF
5565
Total HTML
Share statistics
 array:20 [
  "pii" => "X2013251408005505"
  "issn" => "20132514"
  "doi" => " "
  "estado" => "S300"
  "fechaPublicacion" => "2008-08-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2008;28:471-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3713
    "formatos" => array:3 [
      "EPUB" => 285
      "HTML" => 2895
      "PDF" => 533
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699508005508"
      "issn" => "02116995"
      "doi" => " "
      "estado" => "S300"
      "fechaPublicacion" => "2008-08-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2008;28:471-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 10497
        "formatos" => array:3 [
          "EPUB" => 295
          "HTML" => 9322
          "PDF" => 880
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "titulo" => "Estenosis de arteria renal segmentaria causante de hipertensi&#243;n renovascular"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "471"
            "paginaFinal" => "473"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Segmental renal artery stenosis causing renovascular hypertension"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Benet G&#243;mez-Moya, Esteban Hern&#225;ndez-Osma, Francesc Pa&#241;ella-Agust&#237;, Vicente Mart&#237;n Paredero"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Benet"
                "apellidos" => "G&#243;mez-Moya"
              ]
              1 => array:2 [
                "nombre" => "Esteban"
                "apellidos" => "Hern&#225;ndez-Osma"
              ]
              2 => array:2 [
                "nombre" => "Francesc"
                "apellidos" => "Pa&#241;ella-Agust&#237;"
              ]
              3 => array:2 [
                "nombre" => "Vicente"
                "apellidos" => "Mart&#237;n Paredero"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251408005505"
          "doi" => " "
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408005505?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699508005508?idApp=UINPBA000064"
      "url" => "/02116995/0000002800000004/v0_201502091416/X0211699508005508/v0_201502091417/es/main.assets"
    ]
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251408005513"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2008-08-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2008;28:470-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3776
      "formatos" => array:3 [
        "EPUB" => 279
        "HTML" => 2928
        "PDF" => 569
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "titulo" => "Sepsis induced by hafnia alvei in a kidney transplant patient"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "470"
          "paginaFinal" => "471"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Sepsis por hafnia alvei en una paciente con trasplante renal"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Manuel Heras, Rosa S&#225;nchez, Maria Jos&#233; Fern&#225;ndez-Reyes, Susana Hernando"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Heras"
            ]
            1 => array:2 [
              "nombre" => "Rosa"
              "apellidos" => "S&#225;nchez"
            ]
            2 => array:2 [
              "nombre" => "Maria Jos&#233;"
              "apellidos" => "Fern&#225;ndez-Reyes"
            ]
            3 => array:2 [
              "nombre" => "Susana"
              "apellidos" => "Hernando"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699508005516"
        "doi" => " "
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699508005516?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408005513?idApp=UINPBA000064"
    "url" => "/20132514/0000002800000004/v0_201502091636/X2013251408005513/v0_201502091636/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Segmental renal artery stenosis causing renovascular hypertension"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "471"
        "paginaFinal" => "473"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Benet G&#243;mez-Moya, Esteban Hern&#225;ndez-Osma, Francesc Pa&#241;ella-Agust&#237;, Vicente Mart&#237;n Paredero"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Benet"
            "apellidos" => "G&#243;mez-Moya"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:4 [
            "nombre" => "Esteban"
            "apellidos" => "Hern&#225;ndez-Osma"
            "email" => array:1 [
              0 => "31712eho&#64;comb&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Francesc"
            "apellidos" => "Pa&#241;ella-Agust&#237;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Vicente"
            "apellidos" => "Mart&#237;n Paredero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Angiología, Cirugía Vascular y Endovascular, Hospital Universitario Joan XXIII, Tarragona Tarragona España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Estenosis de arteria renal segmentaria causante de hipertensi&#243;n renovascular"
      ]
    ]
    "textoCompleto" => "To the editor&#58; Renovascular hypertension &#40;RVH&#41; is the most common form of secondary hypertension&#44; with a prevalence ranging from 5&#37;-15&#37;&#46;1 RVH is caused by stenosis of the renal artery of its branches that induces renal hypoperfusion leading to activation of the renin-angiotensin system and subsequent occurrence of hypertension&#46;2 Atherosclerotic disease is the most common cause of RVH&#44; and lesions usually occur in the first few centimeters of the renal artery and may involve a large area&#46; Fibromuscular disease is the most common cause of RVH in young women&#44; and diagnosis should be considered in people with early onset of severe hypertension&#44; though it is sometimes and incidental finding&#46; It is important that RVH is recognized&#44; because it responds well to surgical treatment&#46; These lesions often arise beyond the first few centimeters of the renal artery and may be associated to disease in more distal branches&#46; <br></br><br></br>We report the case of a 22-year-old female patient who attended the department of nephrology for arterial hypertension&#46; She had no remarkable personal or family history&#46; Physical examination revealed a sitting blood <br></br>pressure of 175&#47;100 mmHg and a heart rate of 76 beats per minute&#46; Examination was otherwise unremarkable&#46; Supplemental tests&#44; including complete blood count&#44; biochemistry&#44; urinary catecholamines&#44; urine sediment&#44; chest Xrays&#44; and electrocardiogram&#44; were normal&#46; Treatment was started with bisoprolol&#44; and an angio-MRI was requested for renal study&#46; At 3 months of treatment&#44; the patient showed a slight improvement in her blood pressure values &#40;160&#47;90 mmHg&#41;&#44; and angio-MRI revealed doubtful fibrodysplasia at left renal artery level&#46; Renal arteriography was therefore performed for confirmation&#46; Arteriography showed critical stenosis in the right renal segmental artery with collateral circulation and no significant lesions in left renal artery&#46; Angioplasty was performed on this stenosis using a 4 x 20 mm balloon catheter with good morphological result and disappearance of collateral circulation &#40;fig&#46; 1&#41;&#46; At 2 years of follow-up&#44; the patient has normal blood pressure values under no drug treatment&#46; <br></br><br></br>Fibromuscular dysplasia usually occurs in young women aged 15-50 years&#44; and the arterial sector usually affected are the distal 2&#47;3 of the renal artery&#46; RVH caused by involvement of renal artery branches is rare&#44; and in the reported cases the polar arteries3 or the accessory arteries4 were affected&#46; In our case&#44; RVH was caused by involvement of a main branch of the right renal artery&#46; RVH resulting from involvement of this segmental artery is an exceptional case&#46; As regards treatment&#44; advances in endovascular procedures in recent years have allowed for a high success rate in therapeutic management of these patients&#46; "
    "pdfFichero" => "P-E-S-A405-EN.pdf"
    "tienePdf" => true
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "La hipertensi&#243;n renovascular &#40;HRV&#41; es la forma de hipertensi&#243;n secundaria m&#225;s frecuente con una prevalencia que oscila entre el 5-15&#37; &#40;1&#41;&#46; Est&#225; provocada por una estenosis de la arteria renal&#44; o de sus ramas&#44; que provoca una hipoperfusi&#243;n renal con la consiguiente activaci&#243;n del sistema renina-angiotensina y posterior aparici&#243;n de la hipertensi&#243;n &#40;2&#41;&#46; La enfermedad ateroescler&#243;tica es la causa m&#225;s com&#250;n de HRV y las lesiones suelen presentarse en los primeros cent&#237;metros de la arteria renal pudiendo comprender una gran extensi&#243;n&#46; La enfermedad fibromuscular es la causa m&#225;s com&#250;n de HRV en mujeres j&#243;venes y el diagn&#243;stico debe ser considerado en alguien con establecimiento temprano&#44; hipertensi&#243;n severa&#44; aunque ocasionalmente es un hallazgo&#46; Es importante reconocerla&#44; ya que responde bien al tratamiento quir&#250;rgico&#46; Estas lesiones a menudo surgen m&#225;s all&#225; de los primeros cent&#237;metros de la arteria renal y pueden estar asociadas con enfermedad de las ramas m&#225;s distales&#46; "
      ]
      "en" => array:1 [
        "resumen" => "To the editor&#58; Renovascular hypertension &#40;RVH&#41; is the most common form of secondary hypertension&#44; with a prevalence ranging from 5&#37;-15&#37;&#46;1 RVH is caused by stenosis of the renal artery of its branches that induces renal hypoperfusion leading to activation of the renin-angiotensin system and subsequent occurrence of hypertension&#46;2 Atherosclerotic disease is the most common cause of RVH&#44; and lesions usually occur in the first few centimeters of the renal artery and may involve a large area&#46; Fibromuscular disease is the most common cause of RVH in young women&#44; and diagnosis should be considered in people with early onset of severe hypertension&#44; though it is sometimes and incidental finding&#46; It is important that RVH is recognized&#44; because it responds well to surgical treatment&#46; These lesions often arise beyond the first few centimeters of the renal artery and may be associated to disease in more distal branches&#46;"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "J.Menard J.P. Grunfeld. Hipertension Renovascular Tomo I 1982:189-202."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Strandness DE: Natural history of renal artey stenosis. Am JKidney Dis 24: 630-635, 1994."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "García-Gómez MC, Fernández-Fresnedo G, Sanz de Castro S, Arias M: Hipertensión arterial renovascular secundaria a estenosis de la arteria polar. Nefrología Vol XXII, n 1: 85-86, 2002"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cuxart M, Picazo M, Matas M, Canalias J, Nadal C, Falcó J: Hipertensión arterial y estenosis de la arteria renal accesoria. Nefrología Vol XXVII n 4: 509-510, 2007"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002800000004/v0_201502091636/X2013251408005505/v0_201502091636/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002800000004/v0_201502091636/X2013251408005505/v0_201502091636/en/P-E-S-A405-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408005505?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
DOI:
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 11 12 23
2024 October 57 46 103
2024 September 60 27 87
2024 August 73 62 135
2024 July 57 28 85
2024 June 58 39 97
2024 May 79 29 108
2024 April 55 34 89
2024 March 46 29 75
2024 February 36 41 77
2024 January 32 28 60
2023 December 25 37 62
2023 November 31 33 64
2023 October 43 46 89
2023 September 27 30 57
2023 August 52 29 81
2023 July 58 31 89
2023 June 50 22 72
2023 May 63 29 92
2023 April 33 15 48
2023 March 34 18 52
2023 February 35 28 63
2023 January 43 23 66
2022 December 47 27 74
2022 November 49 26 75
2022 October 58 37 95
2022 September 63 36 99
2022 August 59 37 96
2022 July 41 43 84
2022 June 33 34 67
2022 May 46 32 78
2022 April 72 39 111
2022 March 64 34 98
2022 February 68 40 108
2022 January 43 29 72
2021 December 53 33 86
2021 November 43 33 76
2021 October 71 31 102
2021 September 28 27 55
2021 August 28 46 74
2021 July 43 35 78
2021 June 26 30 56
2021 May 37 32 69
2021 April 106 17 123
2021 March 67 28 95
2021 February 64 20 84
2021 January 43 17 60
2020 December 49 30 79
2020 November 30 7 37
2020 October 20 14 34
2020 September 27 8 35
2020 August 32 6 38
2020 July 38 16 54
2020 June 39 9 48
2020 May 36 8 44
2020 April 41 22 63
2020 March 38 11 49
2020 February 29 18 47
2020 January 53 18 71
2019 December 36 22 58
2019 November 45 18 63
2019 October 17 8 25
2019 September 28 18 46
2019 August 31 13 44
2019 July 35 23 58
2019 June 35 9 44
2019 May 34 12 46
2019 April 80 19 99
2019 March 32 23 55
2019 February 32 21 53
2019 January 23 12 35
2018 December 71 31 102
2018 November 82 14 96
2018 October 106 14 120
2018 September 48 8 56
2018 August 54 18 72
2018 July 43 12 55
2018 June 41 16 57
2018 May 45 13 58
2018 April 37 12 49
2018 March 40 12 52
2018 February 37 7 44
2018 January 31 8 39
2017 December 36 11 47
2017 November 30 6 36
2017 October 24 9 33
2017 September 35 9 44
2017 August 27 9 36
2017 July 29 10 39
2017 June 28 6 34
2017 May 34 9 43
2017 April 33 7 40
2017 March 28 3 31
2017 February 12 5 17
2017 January 21 4 25
2016 December 26 9 35
2016 November 32 6 38
2016 October 84 17 101
2016 September 74 3 77
2016 August 102 8 110
2016 July 99 8 107
2016 June 99 0 99
2016 May 127 0 127
2016 April 80 0 80
2016 March 51 0 51
2016 February 78 0 78
2016 January 97 0 97
2015 December 84 0 84
2015 November 59 0 59
2015 October 74 0 74
2015 September 52 0 52
2015 August 65 0 65
2015 July 58 0 58
2015 June 35 0 35
2015 May 42 0 42
2015 April 5 0 5
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?