Department of Radiology, Division of Interventional Radiology, New York Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th Street, Payson Pavillion 5th Floor, New York, NY, 10065, USA,
Curr Urol Rep. 2014 Jun;15(6):414. doi: 10.1007/s11934-014-0414-5.
Renal artery stenosis resulting in renovascular hypertension or renal ischemia is a potentially treatable condition that results in increased morbidity and mortality, especially among older individuals. Sophisticated imaging techniques are used for screening and identification of affected patients to guide therapy. Treatment guidelines recommend intervention in patients with significant renal artery stenosis, although recent evidence has questioned the benefit of intervention in certain populations. Current research focuses on improving the specificity of imaging techniques and determining which imaging modalities best identify patients who will benefit from intervention.
肾动脉狭窄导致的肾血管性高血压或肾缺血是一种潜在可治疗的病症,会增加发病率和死亡率,尤其是在老年人中。复杂的成像技术用于筛选和识别受影响的患者,以指导治疗。治疗指南建议对有明显肾动脉狭窄的患者进行干预,尽管最近的证据对某些人群进行干预的益处提出了质疑。目前的研究重点是提高成像技术的特异性,并确定哪些成像方式最能识别出从干预中获益的患者。