Balloon Angioplasty in a Pediatric Renal Artery Occlusion

• Main Authors: Hwayoung Song, Hye Doo Jung, Jeong-Eun Kim, Sang Min Lee, Wonju Hong, Kwanseop Lee
• Format: Article
• Language: English
• Published: The Korean Society of Radiology 2018-12-01
• Series: 대한영상의학회지
• Subjects: renal artery; kidney; abdominal injuries
• Online Access: https://doi.org/10.3348/jksr.2018.79.6.332

Renal artery injury is a rare complication in blunt trauma, but can cause devascularization of the kidney, leading to renal failure. It requires early diagnosis and management. The treatment of renal artery injury still remains controversial, but recent studies have reported the successful treatment outcome with endovascular stent placement. Nevertheless, there is no standard treatment strategy in cases of pediatric patients. We report a case of a 16-year-old girl with right renal artery occlusion associated with a grade IV liver laceration. She was treated with only balloon angioplasty, and the kidney showed marked improvement of parenchymal perfusion with normalized renal function. Treatment with only balloon angioplasty can be a treatment option in pediatric patients with renal artery injury.