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孤立肾经皮肾动脉血管成形术后肾周血肿的成功非手术治疗

Successful non-surgical treatment of perirenal haematoma after percutaneous renal artery angioplasty in a solitary kidney.

作者信息

Pipili Chrysoula, Grapsa Eirini, Arapoglou Vassilis, Tzanatos Helen

机构信息

Department of Nephrology, Aretaieion University Hospital, Athens, Greece.

出版信息

Scand J Urol Nephrol. 2012 Apr;46(2):133-5. doi: 10.3109/00365599.2011.638933. Epub 2011 Dec 12.

Abstract

Renal artery angioplasty with stent placement represents an effective choice for correcting renal artery stenosis. However, if iatrogenic renal artery injury occurs, as in the case of solitary kidney, the risk of requiring chronic dialysis increases. This article reports the case of a patient with a solitary kidney, who underwent renal stenting and developed a retroperitoneal haematoma. The patient was managed conservatively and the perirenal haematoma resolved. Within the period of follow-up, the patient had maintained stable renal function with adequate blood pressure control.

摘要

肾动脉血管成形术加支架置入是纠正肾动脉狭窄的有效选择。然而,如果发生医源性肾动脉损伤,如在孤立肾的情况下,需要长期透析的风险会增加。本文报道了一例孤立肾患者,该患者接受了肾支架置入术并出现了腹膜后血肿。患者接受了保守治疗,肾周血肿得以消退。在随访期间,患者肾功能保持稳定,血压控制良好。

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