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Surgery, the Best Option for Kids With High Blood Pressure

ial graft devices and stents that are often used in treating adult kidney blood vessels. As a result, surgeons often have to use a length of blood vessel taken from elsewhere in the child's body to get around the blockage.

In some patients, the persistently high blood pressure has damaged one kidney too much to allow it to be saved, and it must be removed.

Once a child has had surgery to correct their kidney blood flow, they can sometimes go off the blood pressure medications that had been used to try to control their hypertension. But others will still need medicines, or even further surgery, says Stanley.

In addition to improvements in renal hypertension treatment, Stanley has hopes that better blood pressure screening of children will lead to more cases being detected before disastrous consequences arise. He looks back to decades ago, when U-M vascular surgeon William Fry, M.D. was one of the first to report that intractable hypertension in children could be a cause of mental developmental delays -- a finding that led to more routine blood pressure testing of children during well-baby doctor visits.

Recent national guidelines call for children to have their blood pressure measured beginning at age 3 – and starting at younger ages for children who were born prematurely or have heart defects. Even if it turns out that a child's high blood pressure is linked to their family history, their obesity or the medications they take for some other condition, children and their parents can take steps to reduce blood pressure through diet, weight loss, and exercise.

Source-Eurekalert
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