1. Bilateral renal artery revascularisation in heart failure.
- Author
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Quilty F, Abel AAI, and Clark AL
- Subjects
- Humans, Male, Tetrazoles therapeutic use, Drug Combinations, Aminobutyrates therapeutic use, Ventricular Dysfunction, Left, Biphenyl Compounds, Aged, Angiotensin Receptor Antagonists therapeutic use, Renal Artery Obstruction surgery, Renal Artery Obstruction complications, Renal Artery Obstruction therapy, Heart Failure, Renal Artery surgery, Valsartan therapeutic use, Enalapril therapeutic use
- Abstract
Renal artery stenosis can complicate the management of heart failure with reduced ejection fraction, as it is a conventional contraindication to the use of ACE inhibitors. We report a case in which bilateral renal artery revascularisation allowed the safe reintroduction of enalapril (and subsequently sacubitril valsartan) in a patient with severe left ventricular systolic dysfunction. There is a role for renal artery angioplasty in selected patients to allow optimal medical therapy for patients with heart failure due to impaired systolic function., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2024
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