血管内超声引导下斑块旋切术成功治疗纤维肌性发育异常所致肾血管性高血压。

Successful treatment of renovascular hypertension due to fibromuscular dysplasia by intravascular ultrasound-guided atherectomy.

作者信息

Hoshino Yoichi, Nakamura Tetsuya, Nakano Akihiko, Isobe Zen, Suguta Masahiko, Tomita Tomoyuki, Yokoyama Tomoyuki, Hasegawa Akira, Kurabayashi Masahiko

机构信息

Second Department of Internal Medicine, Gunma University School of Medicine, 3-39-14 Showa-machi, Maebashi, Gunma 371-8511, Japan.

出版信息

Nephron. 2002 Jul;91(3):521-5. doi: 10.1159/000064301.

DOI:10.1159/000064301

PMID:12119491

Abstract

A 22-year-old man presented with renovascular hypertension, based on a stenosis of the distal portion of the right renal artery with a "string of beads"-like appearance. An intravascular ultrasound image at the renal artery lesion revealed irregularity of the vascular wall. Directional atherectomy was performed and histopathology of atherectomised tissues showed medial fibroplasia, a common type of fibromuscular dysplasia. After atherectomy his hypertension was markedly improved. We report here a case of renovascular hypertension due to fibromuscular dysplasia, successfully diagnosed and treated with IVUS-guided renal atherectomy.

摘要

一名22岁男性因右肾动脉远端狭窄呈“串珠样”外观而出现肾血管性高血压。肾动脉病变处的血管内超声图像显示血管壁不规则。进行了定向旋切术，旋切组织的组织病理学显示为中层纤维增生，这是纤维肌性发育异常的一种常见类型。旋切术后，他的高血压明显改善。我们在此报告一例因纤维肌性发育异常导致的肾血管性高血压病例，通过血管内超声引导下的肾动脉旋切术成功诊断并治疗。