Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore,
Eur Radiol. 2015 Feb;25(2):444-53. doi: 10.1007/s00330-014-3392-6. Epub 2014 Aug 28.
Renal sympathetic denervation (RDN) is an emerging technique in the treatment of resistant hypertension, most commonly performed using an endovascular approach. Clinical and anatomical criteria for RDN are well established and imaging plays an integral role in selecting patients with suitable anatomy, procedural planning and device selection. Nevertheless, the current body of literature surrounding imaging related to RDN remains limited. The purpose of this article is to illustrate the expectations and limitations of various imaging techniques, including Doppler ultrasound, CT angiography, MR angiography and newer techniques such as non-contrast MR angiography, in the context of RDN.
• To understand the role of imaging in renal denervation • To understand strengths and weaknesses of current imaging techniques • To understand the relevant imaging findings in the context of renal denervation.
中文译文:
摘要:肾脏去神经术(RDN)是治疗抗药性高血压的新兴技术,最常采用血管内介入方法。RDN 的临床和解剖标准已经确立,影像学在选择具有合适解剖结构、手术规划和器械选择的患者中起着不可或缺的作用。然而,目前与 RDN 相关的影像学文献仍然有限。本文旨在说明各种影像学技术的预期和局限性,包括多普勒超声、CT 血管造影、磁共振血管造影以及较新的技术,如无对比磁共振血管造影,在 RDN 中的应用。
关键点:
了解影像学在肾去神经术中的作用。
了解当前影像学技术的优缺点。
了解肾去神经术背景下的相关影像学表现。