Gunduz Yasemin, Akdemir Ramazan, Sahinkus Salih, Vatan Mehmet Bulent
Department of Radiology, Sakarya University Medical Faculty, Sakarya, Turkey.
BMJ Case Rep. 2013 Jun 3;2013:bcr2012008464. doi: 10.1136/bcr-2012-008464.
Renal artery stenosis (RAS) is the most common cause of secondary hypertension and accounts for approximately 1-3% of all causes of hypertension. Over 90% of RASs are caused by atherosclerosis; atherosclerotic RAS is increasingly common in aging populations, particularly elderly people with diabetes, hyperlipidaemia, aortoiliac occlusive disease, coronary artery disease or hypertension. Three therapeutic options are currently available for patients with renovascular hypertension: medical antihypertensive therapy, surgical revascularisation and transluminal angioplasty including stent implantation. We present in this report a male patient with bilateral severe ostial stenosis and coronary artery disease, and who was successfully treated with renal stent implantation in one session.
肾动脉狭窄（RAS）是继发性高血压最常见的病因，约占所有高血压病因的1% - 3%。超过90%的肾动脉狭窄由动脉粥样硬化引起；动脉粥样硬化性肾动脉狭窄在老年人群中越来越常见，尤其是患有糖尿病、高脂血症、主髂动脉闭塞性疾病、冠状动脉疾病或高血压的老年人。目前，肾血管性高血压患者有三种治疗选择：药物降压治疗、外科血管重建术和包括支架植入在内的腔内血管成形术。我们在本报告中介绍了一名患有双侧严重开口狭窄和冠状动脉疾病的男性患者，该患者通过一次肾支架植入术获得了成功治疗。
