经皮腔内肾血管成形术（PTRA）作为治疗儿童肾血管性高血压的一种方法。

Percutaneous transluminal renal angioplasty (PTRA) as a method of therapy for renovascular hypertension in children.

作者信息

Simunić S, Winter-Fudurić I, Radanović B, Bradic I, Marinović B, Marinković M, Cavka K, Batinica S, Batinić D, Roglić M

机构信息

Clinical Hospital Center, Medical Faculty, University of Zagreb, Yugoslavia.

出版信息

Eur J Radiol. 1990 Mar-Apr;10(2):143-6. doi: 10.1016/0720-048x(90)90124-t.

DOI:10.1016/0720-048x(90)90124-t

PMID:2140097

Abstract

The results of PTRA in treatment of renovascular hypertension in four children aged 5, 7, 13 and 15 are presented. All patients suffered from severe hypertension. Tests showed all of them to have fibromuscular dysplasia stenosis of the main renal artery and significant lateralization of renin levels. One suffered from associated polycystosis of kidneys and in another the renal artery stenosis was bilateral. In all patients successful patency was achieved. In one patient, the arterial pressure after PTRA was normalized, while in the others it was considerably improved. Two patients, tested 8 and 12 months after PTRA, were lost to further follow-up. In one of the remaining two, stenosis and hypertension reappeared 5 years after PTRA. After autotransplantation the patient was normotensive. In the other, also 5 years later, recurrent hypertension appeared related to the associated polycystosis.

摘要

本文介绍了经皮腔内肾血管成形术（PTRA）治疗4例5岁、7岁、13岁和15岁儿童肾血管性高血压的结果。所有患者均患有重度高血压。检查显示，他们均存在主肾动脉纤维肌性发育异常狭窄以及肾素水平明显单侧化。1例患者合并多囊肾，另1例患者肾动脉狭窄为双侧性。所有患者均成功实现血管通畅。1例患者PTRA术后动脉血压恢复正常，其他患者血压也有显著改善。2例患者在PTRA术后8个月和12个月接受检查后失访。其余2例患者中，1例在PTRA术后5年出现狭窄和高血压复发。自体肾移植术后该患者血压正常。另1例患者同样在5年后出现与合并多囊肾相关的复发性高血压。