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腹主动脉瘤与肾动脉狭窄:血管内治疗前后的肾功能与血压

Abdominal aortic aneurysm and renal artery stenosis: renal function and blood pressure before and after endovascular treatment.

作者信息

Agroyannis B, Chatziioannou A, Mourikis D, Patsakis N, Katsenis K, Kalliafas S, Dimakakos P, Vlachos L

机构信息

Department of Nephrology, Radiology and Vascular Surgery, Aretaieon University Hospital, Athens Greece.

出版信息

J Hum Hypertens. 2002 May;16(5):367-9. doi: 10.1038/sj.jhh.1001367.

DOI:10.1038/sj.jhh.1001367
PMID:12082500
Abstract

We describe three patients with abdominal aortic aneurysm (AAA) and renal artery stenosis (RAS). These patients were treated by placement of an aortic endograft and angioplasty or stenting of the renal artery. After the procedure renal function improved or remained stable in two patients and deteriorated slightly in one. Blood pressure was reduced in one hypertensive patient and remained normal in the other two normotensive patients. In conclusion, simultaneous treatment of AAA and RAS with aortic endograft placement and renal artery angioplasty with or without stent, is a safe and effective technique for selected high-risk patients.

摘要

我们描述了三名患有腹主动脉瘤(AAA)和肾动脉狭窄(RAS)的患者。这些患者接受了主动脉内移植物置入以及肾动脉血管成形术或支架置入治疗。术后,两名患者的肾功能得到改善或保持稳定,一名患者的肾功能略有恶化。一名高血压患者的血压降低,另外两名血压正常的患者血压保持正常。总之,对于选定的高危患者,同时采用主动脉内移植物置入和肾动脉血管成形术(伴或不伴支架)治疗AAA和RAS是一种安全有效的技术。

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J Hum Hypertens. 2002 May;16(5):367-9. doi: 10.1038/sj.jhh.1001367.
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