Weinberger M H, Yune H Y, Grim C E, Luft F C, Klatte E C, Donohue J P
Ann Intern Med. 1979 Nov;91(5):684-8. doi: 10.7326/0003-4819-91-5-684.
In five patients with hypertension and marked impairment of renal function due to renal artery stenosis in a solitary functioning kidney, a nonsurgical technique, percutaneous transluminal angioplasty, was used to dilate the stenotic renal artery. Blood pressure improved in all five patients, and renal function improved in three. One patient subsequently died of multiple cardiovascular complications, and in one patient the procedure resulted in acute renal failure requiring hemodialysis. Although preliminary, this experience suggests that percutaneous transluminal angioplasty may provide an attractive alternative to surgery in severely ill patients at high surgical risk.
在5例因单肾肾动脉狭窄导致高血压且肾功能显著受损的患者中，采用了一种非手术技术——经皮腔内血管成形术来扩张狭窄的肾动脉。所有5例患者的血压均有改善，3例患者的肾功能有所改善。1例患者随后死于多种心血管并发症，1例患者术后出现急性肾衰竭，需要进行血液透析。尽管这只是初步经验，但表明经皮腔内血管成形术对于手术风险高的重症患者可能是一种有吸引力的手术替代方案。
