Intervention for renal artery stenosis: endovascular and surgical roles.

Bruce H Gray
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引用次数: 33

Abstract

The treatment options for renal artery stenosis include bypass surgery, surgical endarterectomy, or balloon angioplasty with/without stenting. Each of these procedures is delivered today with differing frequency, morbidity/mortality, and outcomes. The procedure most applicable to patients with atherosclerotic disease is percutaneous transluminal renal angioplasty with stenting. Stents prevent plaque recoil, minimizing early restenosis, and the relatively large size of the renal artery (5-7 mm) minimizes late stent restenosis rates. The clinical features that help predict a favorable response to intervention are reviewed. In short, intervention provides a durable means to control renovascular hypertension, ischemic nephropathy, and congestive heart failure due to poor renal volume control.

肾动脉狭窄的干预:血管内和手术的作用。
肾动脉狭窄的治疗选择包括搭桥手术、手术动脉内膜切除术或球囊血管成形术伴/不伴支架置入。如今,每一种手术都有不同的频率、发病率/死亡率和结果。最适用于动脉粥样硬化性疾病患者的手术是经皮腔内肾血管成形术加支架植入术。支架可以防止斑块反冲,减少早期再狭窄,相对较大的肾动脉(5- 7mm)可以减少支架后期再狭窄的发生率。临床特征,有助于预测对干预的有利反应进行了审查。总之,干预提供了一种持久的手段来控制肾血管性高血压、缺血性肾病和由于肾容量控制不良引起的充血性心力衰竭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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