Schneider J R, Wright A, Mitchell R S
Department of Cardiovascular Surgery, Stanford University Medical Center, California.
Ann Vasc Surg. 1992 Nov;6(6):533-6. doi: 10.1007/BF02000826.
Progressive renal failure may be due to renal artery stenosis and occlusion. Gradual occlusion of the renal arteries may allow the development of collateral arterial supply sufficient to avoid dialysis. Even when dialysis is required, significant viable renal parenchyma may still be present to allow escape from dialysis following revascularization of one or both kidneys. The chance of success in such cases is thought to be better if the patient still produces a significant amount of urine. We report here a patient who was completely anuric for five days and in whom excellent renal function returned after balloon angioplasty of one of two occluded renal arteries.
进行性肾衰竭可能是由于肾动脉狭窄和闭塞所致。肾动脉的逐渐闭塞可能会使侧支动脉供应得以发展，足以避免透析。即使需要透析，大量有活力的肾实质可能仍然存在，以便在一侧或双侧肾脏血管重建后摆脱透析。如果患者仍能产生大量尿液，这种情况下成功的几率被认为会更高。我们在此报告一名患者，其完全无尿达五天，在对两条闭塞肾动脉之一进行球囊血管成形术后，肾功能恢复良好。
