孤立性自发性肾动脉夹层：一例报告及文献复习

Isolated spontaneous renal artery dissection: a case report and review.

作者信息

Tandon Gaurav, Sukhija Rishi

机构信息

Department of Cardiology, Indiana University La Porte Hospital, La Porte, Indiana.

出版信息

Int J Angiol. 2012 Jun;21(2):99-102. doi: 10.1055/s-0032-1315623.

DOI:10.1055/s-0032-1315623

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3444006/

Abstract

We report an interesting case of a 65-year-old gentleman who presented with hypertensive emergency and was found to have an isolated spontaneous dissection of the right renal artery. The dissection was stented via endovascular approach and resulted in marked improvement in blood pressure. Spontaneous renal artery dissection is a difficult condition to diagnose and treat, unless suspected early enough during the course of treatment. Endovascular intervention is the treatment of choice, as failure of conservative treatment may have long lasting clinical implications relating to decreased renal perfusion. Surgical intervention can be associated with high rate of complications.

摘要

我们报告了一例有趣的病例，一名65岁男性患者因高血压急症就诊，经检查发现为孤立性右肾动脉自发性夹层。通过血管内介入方法对该夹层进行了支架置入，血压得到显著改善。自发性肾动脉夹层是一种难以诊断和治疗的疾病，除非在治疗过程中尽早怀疑。血管内介入是首选治疗方法，因为保守治疗失败可能会对肾灌注减少产生长期的临床影响。手术干预可能会伴有较高的并发症发生率。

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本文引用的文献

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Spontaneous renal artery dissection: long-term outcomes after endovascular stent placement.自发性肾动脉夹层：血管内支架置入术后的长期预后

J Vasc Interv Radiol. 2009 Aug;20(8):1024-30. doi: 10.1016/j.jvir.2009.04.069.

2

Renal artery dissection following marathon running.马拉松跑步后发生肾动脉夹层。

Angiology. 2009 Feb-Mar;60(1):122-6. doi: 10.1177/0003319707310278.

3

Spontaneous renal artery dissection.自发性肾动脉夹层

Rev Urol. 2007 Summer;9(3):156-60.

4

Spontaneous dissection of branch renal artery- is conservative management safe and effective?肾动脉分支自发性夹层——保守治疗安全有效吗？

J Urol. 2006 Nov;176(5):2125-9. doi: 10.1016/j.juro.2006.07.017.

5

Dissecting aneurysm of the aorta: a review of 505 cases.主动脉夹层动脉瘤：505例病例回顾

Medicine (Baltimore). 1958 Sep;37(3):217-79. doi: 10.1097/00005792-195809000-00003.

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Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation1.肾动脉自发性夹层：体外重建与自体移植的长期结果1。

J Vasc Surg. 2003 Jul;38(1):116-22. doi: 10.1016/s0741-5214(02)75453-0.

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Surgical treatment of renal artery dissection in 25 patients: indications and results.

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