Division of Vascular Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA.
J Vasc Surg. 2011 Aug;54(2):563-70;discussion 570. doi: 10.1016/j.jvs.2011.06.003.
The role of and indications for interventions for renal artery stenosis have long been a hot topic of debate. Despite numerous reports and studies over the years, there remain many unanswered questions. Among them are: Who should be intervened upon? What should be the objectives of intervention? What is the optimal mode of intervention? More recently, several randomized studies have attempted to answer some of these basic questions, but unfortunately have left many unanswered questions. In the following debate, the authors consider the existing literature and attempt to convince us that the majority, or the minority, of patients with renal artery stenoses should be intervened upon.
肾动脉狭窄的治疗干预的作用和适应证一直是一个热门的争论话题。尽管多年来有大量的报告和研究，但仍有许多悬而未决的问题。其中包括：应该对哪些患者进行干预？干预的目标应该是什么？最佳的干预模式是什么？最近，一些随机研究试图回答其中的一些基本问题，但不幸的是，仍有许多问题没有得到解答。在下面的辩论中，作者考虑了现有的文献，并试图说服我们，大多数或少数患有肾动脉狭窄的患者应该接受干预。
