Sos T A, Saddekini S, Pickering T G, Laragh J H
Nephron. 1986;44 Suppl 1:45-50. doi: 10.1159/000184046.
Technical aspects of percutaneous transluminal angioplasty in renovascular hypertension include knowledge about the pathophysiology of dilation, certain radiological and physiological markers, criteria for patient selection, and, finally, the catheter technique. Important factors for a successful procedure are overdilation and adequate pressure and time of balloon inflation. Radiological markers are inflation and deflation profiles of the balloon as well as determination of the pressure gradient across the stenosis. Main criteria for patient selection are renin-dependent hypertension and less frequent improvement of kidney function. Following dilation the most common adjunct medical therapy is low-dose application of aspirin for a period of 6 months.
经皮腔内血管成形术治疗肾血管性高血压的技术方面包括对扩张病理生理学的了解、某些放射学和生理学标志物、患者选择标准，以及最后的导管技术。成功实施该手术的重要因素是过度扩张以及球囊充盈的适当压力和时间。放射学标志物是球囊的充盈和放气曲线以及狭窄部位压力梯度的测定。患者选择的主要标准是肾素依赖性高血压以及肾功能改善不常见。扩张后最常用的辅助药物治疗是低剂量应用阿司匹林6个月。
