Weisman I D, Ney A L, Andrisevic J H, Stanchfield W, Odland M D, Andersen R C
Department of Radiology, Hennepin County Medical Center, Minneapolis, Minnesota 55415.
Cardiovasc Intervent Radiol. 1988 Apr;11(2):97-100. doi: 10.1007/BF02577068.
We report an avulsion of a transplant upper pole renal artery following apparently successful percutaneous transluminal angioplasty (PTA) of a stenosis involving main, upper, and lower pole renal arteries. We believe that the use of a high pressure balloon was the causative factor. If the branches at the bifurcation cannot be protected and if the stenoses fail to resolve under moderate balloon insufflation pressures (less than 5-6 atmospheres), consideration should be given to surgical revascularization.
我们报告了一例在对涉及主肾动脉、上极肾动脉和下极肾动脉的狭窄进行经皮腔内血管成形术（PTA）看似成功后发生的移植肾上极肾动脉撕脱伤。我们认为使用高压球囊是致病因素。如果分叉处的分支无法得到保护，并且在中等球囊充气压力（小于5 - 6个大气压）下狭窄未能解除，则应考虑进行外科血管重建术。
