肾交感神经丛经皮腔内射频消融术后严重双侧肾动脉狭窄
Severe bilateral renal artery stenosis after transluminal radiofrequency ablation of renal sympathetic nerve plexus.
作者信息
Chandra Abhilash P, Marron Conor D, Puckridge Phillip, Spark James I
机构信息
Department of Vascular Surgery, Flinders Medical Center and Flinders University, Bedford Park, South Australia, Australia.
Department of Vascular Surgery, Flinders Medical Center and Flinders University, Bedford Park, South Australia, Australia.
出版信息
J Vasc Surg. 2015 Jul;62(1):222-5. doi: 10.1016/j.jvs.2013.11.005. Epub 2014 Jan 24.
Percutaneous renal sympathetic denervation is an evolving therapy for resistant hypertension. Evidence to date demonstrates a reduction of blood pressure in the short term to medium term. Reported complications relate to problems with vascular access vessels and dissection of the renal artery. Renal artery stenosis has not been described in the literature. We present a patient with hypertensive crisis, flash pulmonary edema, and deterioration of renal function, secondary to bilateral renal artery stenosis, 9 months after renal sympathetic radiofrequency ablation denervation.
经皮肾交感神经去神经术是一种用于治疗顽固性高血压的不断发展的疗法。迄今为止的证据表明，该疗法在短期至中期可降低血压。报道的并发症与血管通路血管问题及肾动脉剥离有关。肾动脉狭窄在文献中尚未见描述。我们报告一例患者，在肾交感神经射频消融去神经术9个月后，继发于双侧肾动脉狭窄，出现高血压危象、急性肺水肿及肾功能恶化。
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