Siqueira Daniel Emilio Dalledone, Guillaumon Ana Terezinha
Universidade Estadual de Campinas - UNICAMP, Cirurgia Vascular, Campinas, SP, Brasil.
J Vasc Bras. 2017 Apr-Jun;16(2):150-161. doi: 10.1590/1677-5449.010816.
Atherosclerotic renovascular disease is the most important cause of secondary hypertension. The natural history of the disease reveals progression rates of 4 to 12% per year. Angioplasty with renal artery stenting is one treatment option; but there are few studies that have reported long-term results. The objective of this systematic literature review is to discuss the long-term results (at least 24 months) of angioplasty with stenting of renal arteries for atherosclerotic disease, in terms of renal function and blood pressure levels for control of hypertension. A thorough search was conducted of LILACS, EMBASE, SCIELO, Cochrane Library, and MEDLINE using the appropriate terms. Just seven out of 2170 references identified met all inclusion criteria. It was concluded that over the long term renal function was stabilized, blood pressure levels were reduced, and the number of classes of antihypertensive medication decreased.
动脉粥样硬化性肾血管疾病是继发性高血压的最重要病因。该疾病的自然病程显示每年的进展率为4%至12%。肾动脉支架置入术是一种治疗选择；但很少有研究报告长期结果。本系统文献综述的目的是讨论肾动脉支架置入术治疗动脉粥样硬化疾病的长期结果（至少24个月），包括肾功能和控制高血压的血压水平。使用适当的检索词对LILACS、EMBASE、SCIELO、Cochrane图书馆和MEDLINE进行了全面检索。在检索到的2170篇参考文献中，只有7篇符合所有纳入标准。得出的结论是，从长期来看，肾功能得到稳定，血压水平降低，抗高血压药物的种类减少。
