Kolkata : A 60-year-old male patient from Kolkata suffering from uncontrolled hypertension and hypertensive urgency, with blood pressure recorded at 220/120 mmHg despite multiple medications, underwent laser-guided renal artery angioplasty under the expertise of Dr Soumya Kanti Dutta, Interventional Cardiologist Manipal Hopsital Dhakuria.
The patient was admitted with severe headache, chest discomfort, vomiting, blurring of vision, vertigo, and semi-consciousness. A routine coronary angiography revealed coronary artery disease, and to investigate secondary causes of hypertension, renal angiography was conducted. This revealed a 100% thrombotic occlusion of the left renal artery. Conventional balloon angioplasty was not feasible due to the complete blockage. Therefore, the laser guided angioplasty was opted which would in the long run reduce the chances of repeated blockage and also would ensure faster recovery and less pain.
Dr Soumya Kanti Dutta revealed, “We decided to perform a laser-guided renal artery angioplasty. The laser technology successfully dissolved the clot, enabling placement of a stent at the renal artery ostium. This restored normal blood flow to the left kidney, resulting in improved kidney function, resumption of normal urination, and stabilization of blood pressure. “This innovative use of laser technology represents a major advancement in interventional cardiology and nephrology. Protecting kidney function is vital in managing complex cardiovascular cases, and this breakthrough offers new hope for patients with severe renal artery occlusion,” said Dr Dutta.
The patient is now stable and is doing well.