Rabkin I Kh, Matevosov A L
Kardiologiia. 1985 Jun;25(6):13-9.
The techniques and methodology of roentgeno-endovascular dilatation, used as part of the treatment for renovascular hypertension in 50 patients with 66 arterial stenoses of varying etiology, are described. The factors that may affect the efficacy of the procedure are discussed: the duration and etiology of the disease, stenosis localization, the number of affected renal arteries, plasma renin activity in renal veins, the dilating catheter used, etc. The stenosed portion of an artery could not be passed in 4 patients. In 38 (82.6%) of 46 patients, whose stenosed renal arterial segments were successfully passed and roentgeno-endovascular dilatation was attempted, systemic arterial BP eventually returned to normal or diminished.
本文描述了对50例患有66处不同病因动脉狭窄的肾血管性高血压患者进行X线血管内扩张治疗时所采用的技术和方法。文中讨论了可能影响该手术疗效的因素:疾病的持续时间和病因、狭窄部位、受累肾动脉的数量、肾静脉血浆肾素活性、所用的扩张导管等。4例患者的动脉狭窄部位未能通过。在46例肾动脉狭窄段成功通过并尝试进行X线血管内扩张的患者中,有38例(82.6%)的全身动脉血压最终恢复正常或下降。