CHRONICLE BUREAU IMPHAL, 2nd Dec:
For the first time in Manipur, double renal angioplasty case was successfully conducted at SKY Hospital & Research Centre on November 14, 2017.
The specialised procedure was performed on a 43-year old patient from Langjing, Imphal West district who was referred from another hospital with chest pain and hypertension.
However, the patient’s renal angiogram revealed an unusual renal blood supply. Normally one renal (kidney) artery originating from abdominal aorta supplies each kidney (right and left). In his case, two renal arteries was detected suppling blood to each kidney. The two renal arteries supplying the right kidney were perfectly normal while both renal arteries supplying the left kidney were tightly obstructed at origin from the abdominal aorta, explained a statement issued by SKY Hospital & Research Centre PRO A Roni.
Roni continued that the obstruction caused at the left kidney of the patient was carefully threaded with a metal guide wire, then smaller balloons were passed across the obstructed segments which were dilated.
One high quality stent (Drug Eluting Stent) was implanted in each left upper and lower renal arteries. Normal blood flow was restored after the stents implantation which is called ‘TIMI-III Flow’. If the renal artery obstructions were not relived with stents implantation, the kidney (left) would have been damaged permanently.
The renal artery obstruction is likely caused of his hypertension. In which case the patient can gradually come off lifelong drug treatment for his hypertension.
According to chief cardiologist & chairman Dr L Shyamkishore, young people who have high BP should be thoroughly investigated to find out such abnormality for correction of which may permanently cure someone’s hypertension without the need of lifelong drug treatment.
He conveyed that bilateral double renal artery is a rare variation which is present in 1 to 11.6 per cent of human bodies in various studies in life or in cadavers. Renel angiogram should therefore be performed for all patients undergoing nephrectomy (surgical removal of kidney) or before donating a kidney to avoid vascular complication during the operation.