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晚期肾脏血管重建在功能性肾脏挽救中的作用。

Role of late renal revascularization in functional renal salvage.

作者信息

Weise Lorela, Chiapaikeo David, Tan Tze-Woei, Weinkauf Craig, Goshima Kaoru R, Zhou Wei

机构信息

Division of Vascular Surgery, Department of Surgery, University of Arizona College of Medicine, Tucson, Ariz.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Oct 2;8(1):121-124. doi: 10.1016/j.jvscit.2021.09.009. eCollection 2022 Mar.

DOI:10.1016/j.jvscit.2021.09.009
PMID:35243188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8857538/
Abstract

The duration that renal parenchyma will tolerate ischemia has continued to be debated. We have reported the cases of three patients who had undergone revascularization procedures with successful return of baseline renal function after prolonged renal artery occlusion of 14 days to 3 months. These cases highlight that aggressive revascularization can lead to successful renal salvage in selected patients. We examined the characteristics of these patients and those of others in the literature and reviewed the factors favoring recovery.

摘要

肾实质耐受缺血的持续时间一直存在争议。我们报告了3例患者的病例,这些患者接受了血管重建手术,在肾动脉长时间闭塞14天至3个月后,肾功能成功恢复至基线水平。这些病例表明,积极的血管重建可以使部分患者成功挽救肾脏。我们研究了这些患者以及文献中其他患者的特征,并回顾了有利于恢复的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/86d6d302fc69/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/b05ed69a9527/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/e43e07ba58aa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/86d6d302fc69/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/b05ed69a9527/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/e43e07ba58aa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8857538/86d6d302fc69/gr3.jpg

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Role of late renal revascularization in functional renal salvage.晚期肾脏血管重建在功能性肾脏挽救中的作用。
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Revascularization of occluded renal artery stent grafts after complex endovascular aortic repair and its impact on renal function.复杂血管内主动脉修复术后闭塞性肾动脉支架移植物再血管化及其对肾功能的影响。
J Vasc Surg. 2021 May;73(5):1566-1572. doi: 10.1016/j.jvs.2020.09.036. Epub 2020 Oct 19.
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Acute renal artery occlusion: when is revascularization justified?
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引用本文的文献

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Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question-A Case Report.整个主动脉树严重钙化伴肾动脉次全闭塞:急性肾损伤、缺血性肾病及组织存活问题——病例报告
Life (Basel). 2025 Jan 11;15(1):82. doi: 10.3390/life15010082.
2
Endovascular salvage of occluded renal artery after >15 hours of ischemic time.缺血时间超过15小时后肾动脉闭塞的血管内挽救治疗。
J Vasc Surg Cases Innov Tech. 2024 Apr 16;10(4):101511. doi: 10.1016/j.jvscit.2024.101511. eCollection 2024 Aug.

本文引用的文献

1
Renal Function Salvage After Delayed Endovascular Revascularization of Acute Renal Artery Occlusion in Patients With Fenestrated-Branched Endovascular Aneurysm Repair or Visceral Debranching.肾动脉闭塞延迟血管内再通后肾功能的恢复:在接受分支型腔内动脉瘤修复或内脏动脉去分支术的患者中
J Endovasc Ther. 2018 Aug;25(4):466-473. doi: 10.1177/1526602818783506. Epub 2018 Jun 29.
2
Acute renal artery occlusion: Presentation, treatment, and outcome.急性肾动脉闭塞:临床表现、治疗及预后
J Vasc Surg. 2016 Oct;64(4):1026-32. doi: 10.1016/j.jvs.2016.04.043. Epub 2016 Jun 23.
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Acute renal infarction: a case series.
急性肾梗死:病例系列。
Clin J Am Soc Nephrol. 2013 Mar;8(3):392-8. doi: 10.2215/CJN.05570612. Epub 2012 Nov 30.
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Acute renal embolism. Forty-four cases of renal infarction in patients with atrial fibrillation.急性肾栓塞。44例心房颤动患者发生肾梗死。
Medicine (Baltimore). 2004 Sep;83(5):292-299. doi: 10.1097/01.md.0000141097.08000.99.
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Acute renal artery thrombosis treated by percutaneous rheolytic thrombectomy.
Catheter Cardiovasc Interv. 2002 May;56(1):66-8. doi: 10.1002/ccd.10150.
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J Vasc Surg. 1999 Jan;29(1):140-9. doi: 10.1016/s0741-5214(99)70355-1.
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Ann Vasc Surg. 1993 Jan;7(1):21-6. doi: 10.1007/BF02042655.