双侧肾动脉纤维肌性发育异常的自体移植及支架植入术

Autotransplantation and stent implantation for bilateral renal artery fibromuscular dysplasia.

作者信息

Kyoraku Y, Kato J, Nishi Y, Kita T, Kitamura K, Asato M, Tamura S, Tanabe K, Toma H, Eto T

机构信息

First Department of Internal Medicine, Miyazaki Medical College, Japan.

出版信息

Hypertens Res. 1999 Jul;22(2):141-3. doi: 10.1291/hypres.22.141.

DOI:10.1291/hypres.22.141

PMID:10487331

Abstract

A 36-yr-old male was found to have renovascular hypertension due to an occluded right renal artery and 70% stenosis in the left renal artery, caused by fibromuscular dysplasia. The right kidney was supplied by collateral blood flow, and secreted more renin than the left kidney. Two differential therapeutic approaches were taken: autotransplantation for the right kidney and percutaneous transluminal renal angioplasty followed by stent implantation for the left. The renovascular hypertension was treated with these therapies, preserving renal function in this patient.

摘要

一名36岁男性被发现患有肾血管性高血压，病因是右肾动脉闭塞以及左肾动脉因纤维肌发育异常出现70%的狭窄。右肾由侧支血流供血，分泌的肾素比左肾更多。采取了两种不同的治疗方法：对右肾进行自体移植，对左肾进行经皮腔内肾血管成形术并随后植入支架。通过这些治疗方法对肾血管性高血压进行了治疗，该患者的肾功能得以保留。