Renal Autotransplantation in a Patient With Resistant Renal Artery Stenosis
Bibliographic record
Abstract
We report the case of a 5-year-old boy who presented to our hospital with renovascular hypertension (RVH) resulting from right renal artery stenosis (RAS). We performed percutaneous transluminal renal angioplasty (PTRA) on the right RAS. Although hypertension improved after PTRA, restenosis occurred and aggravated hypertension was observed 2 - 3 months later. PTRA was performed again and repeated three times because of restenoses. We subsequently transected the renal arteries and performed renal autotransplantation. The postoperative course was uneventful and hypertension improved. Pathology results showed intimal fibroplasias. More than 1 year and 3 months after transplant, restenosis of the renal artery had not occurred. Successful renal autotransplantation after the frequent PTRA has not been previously reported, and intimal fibromuscular dysplasia (FMD) is rare. Restenosis frequently occurs after PTRA in patients with renovascular hypertension, and renal autotransplantation is an effective treatment in children. J Med Cases. 2016;7(6):226-229 doi: http://dx.doi.org/10.14740/jmc2492w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".