Iaitskiĭ N A, Semenov D V, Ignashov A M, Karev A V, Smirnov A V, Saraev G B, Suprunovich A A
Vestn Khir Im I I Grek. 2010;169(4):44-8.
The authors have analyzed an experience with treatment of 16 patients. All the patients had renovascular hypertension (RVH) and 3 of them had renal dysfunction. Revascularization of the kidneys (RK) was fulfilled in 11 patients by shunting (9) or prosthesis (2) of the renal arteries. In 7 patients percutaneous endovascular angioplasty (PEA) was used. There were neither complications nor lethal outcomes. Arterial pressure normalized in 7 patients and in 9 RVH was better. In the long-term period (at the average within 21 months) 14 patients were followed-up. In 3 patients having perimedial and intimal fibroplasty of RA after PEA restenoses were diagnosed. They had repeated RK. Renal function became better in 1 patient, in 2 patients there was no substantial dynamics. All shunts were passable. The analysis of the data has shown that liquidation of RVH in patients with FMD of RA has inverse dependence on its duration, and decision on the method of RK depends on the type of RA, experience of the specialists, the patients desire included.
作者分析了16例患者的治疗经验。所有患者均患有肾血管性高血压（RVH），其中3例有肾功能不全。11例患者通过肾动脉分流术（9例）或假体植入（2例）进行了肾脏血运重建（RK）。7例患者采用了经皮血管腔内血管成形术（PEA）。无并发症及死亡病例。7例患者血压恢复正常，9例患者的RVH病情好转。在长期随访期（平均21个月），对14例患者进行了随访。3例患者在PEA后行肾动脉中层和内膜纤维成形术，诊断为再狭窄。他们接受了再次RK。1例患者肾功能好转，2例患者无明显变化。所有分流均通畅。数据分析表明，RA的FMD患者RVH的消除与其持续时间呈负相关，RK方法的选择取决于RA的类型、专家经验以及患者的意愿。
