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节段性动脉中层溶解症:双侧肾动脉狭窄的血管成形术及2年影像学随访

Segmental arterial mediolysis: angioplasty of bilateral renal artery stenoses with 2-year imaging follow-up.

作者信息

Soulen Michael C, Cohen Debbie L, Itkin Maxim, Townsend Raymond R, Roberts David A

机构信息

Division of Interventional Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA.

出版信息

J Vasc Interv Radiol. 2004 Jul;15(7):763-7. doi: 10.1097/01.rvi.0000133543.32123.dc.

Abstract

Segmental arterial mediolysis (SAM) is a rare condition caused by loss of muscular elements in the walls of medium-sized, usually visceral, arteries. This causes dissection, occlusion, aneurysm formation, and rupture. The clinical presentation is usually catastrophic as a result of vascular occlusion or rupture. Herein an unusual case of renovascular hypertension resulting from SAM is reported, which was successfully treated with balloon angioplasty.

摘要

节段性动脉中层溶解(SAM)是一种罕见疾病,由中-sized动脉(通常为内脏动脉)壁中肌肉成分缺失引起。这会导致夹层形成、闭塞、动脉瘤形成和破裂。由于血管闭塞或破裂,临床表现通常很严重。本文报告了一例由SAM导致的肾血管性高血压的罕见病例,该病例通过球囊血管成形术成功治疗。

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