1 Department of Cardiovascular Disease, Ospedale "Antonio Cardarelli," Campobasso, Italy.
J Endovasc Ther. 2014 Apr;21(2):191-6. doi: 10.1583/13-4574MR.1.
To describe the effect of renal sympathetic denervation (RDN) on renal arteries immediately after the procedure and at follow-up.
A 52-year-old woman with severe resistant hypertension underwent RDN. A transient spasm occurred in the left renal artery immediately after radiofrequency energy delivery, with subsequent complete resolution without any additional therapy. At 6-month follow-up, the blood pressure increased, and imaging revealed a tight stenosis in the left renal artery, which was successfully treated with a stent. In the next days, there was an immediate significant blood pressure reduction.
Renal denervation can be complicated by local tissue injury at the ablation sites that could be a possible trigger of late arterial disease.
描述肾动脉去神经术（RDN）后即刻和随访时对肾动脉的影响。
一名 52 岁女性因严重难治性高血压行 RDN。在射频能量输送后即刻，左侧肾动脉出现短暂痉挛，随后无需任何额外治疗即可完全缓解。6 个月随访时，血压升高，影像学显示左侧肾动脉严重狭窄，成功置入支架治疗。随后几天，血压立即显著下降。
肾去神经术可能会导致消融部位的局部组织损伤，这可能是晚期动脉疾病的一个潜在触发因素。
