Iqbal Shams, Sharma Ashish, Wicky Stephan T
Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Semin Intervent Radiol. 2009 Sep;26(3):245-52. doi: 10.1055/s-0029-1225664.
Renovascular hypertension is a major cause of secondary hypertension. It affects relatively younger patients. The unifying pathology is renal artery stenosis. The most common cause is atherosclerosis accounting for about 90% of cases with fibromuscular dysplasia being the second most common cause. Both of these are amenable to percutaneous interventional therapy. With the advent of new medical therapies, the control of blood pressure has improved significantly. In well-selected patients, renal arterial intervention has a good outcome. The intervention includes renal angioplasty and stenting. In this article, the authors review the role of percutaneous intervention and the techniques involved with renal angioplasty and stenting for the treatment of renovascular hypertension.
肾血管性高血压是继发性高血压的主要原因。它影响相对年轻的患者。其统一的病理改变是肾动脉狭窄。最常见的病因是动脉粥样硬化，约占病例的90%，纤维肌性发育异常是第二常见病因。这两种病因都适合经皮介入治疗。随着新的医学疗法的出现，血压控制有了显著改善。在精心挑选的患者中，肾动脉介入治疗效果良好。介入治疗包括肾血管成形术和支架置入术。在本文中，作者回顾了经皮介入治疗的作用以及肾血管成形术和支架置入术治疗肾血管性高血压所涉及的技术。
