Published online Nov 24, 2018. doi: 10.5527/wjn.v7.i7.143
Peer-review started: August 17, 2018
First decision: August 31, 2018
Revised: September 6, 2018
Accepted: October 10, 2018
Article in press: October 10, 2018
Published online: November 24, 2018
Processing time: 101 Days and 0.1 Hours
We report the case of a young woman with renal artery stenosis (RAS) due to fibromuscular dysplasia who became dialysis dependent following arterial dissection; after surgical revascularization, the patient was able to stop dialysis.
Renal artery stenosis secondary to fibromuscular dysplasia complicated by arterial dissection and subsequent dialysis dependence.
Renal artery stenosis secondary to Takayasu’s arteritis.
Three-dimensional computed tomography reconstruction indicating a rich collateral renal blood supply and confirming the origins and extent of the renal artery stenosis.
Kidney biopsy confirming viable tissue.
Surgical revascularization by ex vivo repair of the renal artery using a saphenous venous graft.
The paper by Libertino et al is important for readers to appreciate how to identify those patients that are likely to have a good response to revascularization.
The “sleeping” kidney refers to a non-functional but potentially viable kidney that may recover function following revascularization.
Patients with RAS should be evaluated for revascularisation before fully committing them to a life of chronic dialysis.