移植受者肾动脉狭窄的医学管理

The medical management of renal artery stenosis in transplant recipients.

作者信息

Jachuck S J, Wilkinson R, Uldall P R, Elliott R W, Taylor R M, Hacking P M

出版信息

Br J Surg. 1979 Jan;66(1):19-22. doi: 10.1002/bjs.1800660107.

Abstract

The investigation, management and clinical course of 12 patients developing stenosis of the renal artery following transplantation are described. The possible aetiology of the three arteriographic patterns of stenosis is discussed. Surgical correction of graft arterial stenosis is difficult and may lead to graft loss, whereas the outcome with antihypertensive drug treatment with or without anticoagulants is good. Surgery should only be contemplated if medical treatment is failing or if renal function is deteriorating.

摘要

本文描述了12例肾移植后发生肾动脉狭窄患者的调查、处理及临床病程。讨论了狭窄的三种血管造影表现的可能病因。移植肾动脉狭窄的手术矫正困难，且可能导致移植肾丢失，而使用或不使用抗凝剂的抗高血压药物治疗效果良好。只有在药物治疗无效或肾功能恶化时才应考虑手术治疗。