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Bilateral renal artery revascularisation in heart failure.
- Source :
-
BMJ case reports [BMJ Case Rep] 2024 Apr 24; Vol. 17 (4). Date of Electronic Publication: 2024 Apr 24. - Publication Year :
- 2024
-
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.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 17
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38663899
- Full Text :
- https://doi.org/10.1136/bcr-2023-256323