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ISN-IPNA Webinar: Renovascular hypertension – how biologic differences impact evaluation and treatment through the life cycle

Renovascular hypertension is an uncommon but distinctive form of secondary hypertension observed in both children and adults. A myriad of clinical manifestations and diverse pathogenesis makes this entity fascinating!

While this angiotensin-dependent hypertension commonly stems from fibromuscular dysplasia in children, atherosclerotic vascular disease is frequently the pathology noted in adults. Recognition of distinct types of renovascular disease manifesting with varying degrees of renal artery stenosis is critical. Evaluation in children and adults is based on imaging technologies and interventional strategies. Management of renovascular hypertension demands multidisciplinary expertise comprising of interventional radiologists or cardiologists or vascular surgeons.

Are there differences in managing renovascular hypertension between children and adults? Is long term follow up challenging? Are treatment outcomes favorable?

Learning objectives:

1. Describe and contrast the most common presentations and causes of renovascular hypertension (HTN) in children and adults
2. Define the underlying biologic mechanisms for renovascular HTN in children and adults
3. Delineate challenges in developing effective and improved treatment approaches of renovascular HTN