Dionne Anne R, Columbo Jesse A, Block Clay, Hopley Charles W
Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire, USA.
Section of Vascular Surgery, Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
JACC Case Rep. 2024 Sep 4;29(17):102501. doi: 10.1016/j.jaccas.2024.102501.
Revascularization of renal artery stenosis became less common following randomized controlled trials that failed to demonstrate benefit in low-risk patients. An 88-year-old patient with recurrent acute pulmonary edema and progressive kidney disease in the setting of high-grade renal artery stenosis, a phenotype excluded from these trials, underwent revascularization.
在未能证明对低风险患者有益的随机对照试验之后,肾动脉狭窄的血运重建术变得不那么常见了。一名88岁的患者,患有复发性急性肺水肿和进展性肾病,伴有重度肾动脉狭窄,这是这些试验排除的一种表型,该患者接受了血运重建术。