成功进行经皮腔内血管成形术治疗伴有萎缩肾的肾血管性高血压。
Successful percutaneous transluminal angioplasty for the treatment of renovascular hypertension with an atrophic kidney.
作者信息
Maruyama Keisuke, Chinda Junko, Kabara Maki, Nakagawa Naoki, Fujino Takayuki, Takeuchi Toshiharu, Hasebe Naoyuki
机构信息
Division of Cardiology, Nephrology, Pulmonology and Neurology, Department of Internal Medicine, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa, Japan,
出版信息
Heart Vessels. 2015 Mar;30(2):274-9. doi: 10.1007/s00380-013-0457-4. Epub 2014 Jan 3.
Renovascular hypertension is an important cause of secondary hypertension. We present the case of a 61-year-old man with renovascular hypertension caused by chronic total occlusion of the left renal artery resulting in an atrophic kidney. Although renography indicated almost no residual function of the left kidney, renal vein sampling showed a significant increase of renin secretion in the left kidney. The endocrine function of the left kidney was believed to be preserved; thus, we performed percutaneous transluminal renal angioplasty with stent placement. After the procedure, the patient's blood pressure decreased gradually to within the normal range without adverse events. The laboratory data on endocrine function and the renography findings drastically improved. Percutaneous transluminal renal angioplasty is a promising therapeutic procedure for renovascular hypertension with an atrophic kidney.
肾血管性高血压是继发性高血压的一个重要原因。我们报告一例61岁男性肾血管性高血压病例，其由左肾动脉慢性完全闭塞导致肾脏萎缩引起。尽管肾造影显示左肾几乎无残余功能，但肾静脉采样显示左肾肾素分泌显著增加。左肾的内分泌功能被认为得以保留；因此，我们进行了经皮腔内肾血管成形术并置入支架。术后，患者血压逐渐降至正常范围且无不良事件发生。内分泌功能的实验室数据和肾造影结果大幅改善。经皮腔内肾血管成形术对于伴有萎缩肾的肾血管性高血压是一种有前景的治疗方法。
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