Terauchi Yasunobu, Noguchi Tatsuya, Tanioka Katsutoshi, Kubo Toru, Kitaoka Hiroaki, Doi Yoshinori
Department of Medicine and Geriatrics, Kochi Medical School, Kohasu, Oko-cho, Nankoku-shi, Kochi, 783-8505, Japan,
Cardiovasc Interv Ther. 2014 Apr;29(2):146-50. doi: 10.1007/s12928-013-0200-1. Epub 2013 Aug 15.
An elderly woman was admitted to our hospital for evaluation of an abdominal aortic aneurysm (AAA) and we decided to treat her AAA with endovascular aneurysm repair. Her renal function became worse after the operation and a renogram suggested flow disturbance of her right renal artery. We performed angiography and checked her right renal artery using intravascular ultrasound. The ultrasound revealed thrombus formation and severe stenosis caused by the stent graft. We performed percutaneous transluminal renal angioplasty at the ostium of her right renal artery. After this procedure, her renal function rapidly improved.
一位老年女性因腹主动脉瘤（AAA）入院接受评估，我们决定采用血管腔内动脉瘤修复术治疗她的腹主动脉瘤。术后她的肾功能恶化，肾图显示右肾动脉血流紊乱。我们进行了血管造影，并使用血管内超声检查了她的右肾动脉。超声显示由覆膜支架导致血栓形成和严重狭窄。我们在她右肾动脉开口处进行了经皮腔内肾血管成形术。此操作后，她的肾功能迅速改善。
