Pinot J J, Hermanowicz M, Kasbarian M, Burelle H, Casal P, Bonnet J L
J Urol (Paris). 1982;88(6):379-84.
Renal angioplasty was performed in twenty hypertensive patients, and good immediate results were obtained in 18 cases. One unsuccessful result was due to insufficient dilatation of a stenosed renal artery, and another from an accident during dissection of the aortic wall in contact with the renal ostium. Repeated dilatation was necessary in two cases following recurrence of stenosis. A high percentage improvement in the hypertension was obtained: 12 cases recovered and there was marked improvement in 4 other patients, treatment being effective, therefore, in 16 of the 20 patients operated upon. The published literature is reviewed, and emphasis placed on the need for treatment by surgeons experienced in angiography examinations, in close collaboration with the medical and surgical team, the later being ready to intervene if the slightest complication of a surgical nature develops.
对20例高血压患者实施了肾血管成形术,18例获得了良好的即刻效果。1例未成功是由于狭窄的肾动脉扩张不足,另1例是在解剖与肾门接触的主动脉壁时发生意外。2例在狭窄复发后需要重复扩张。高血压改善率很高:12例康复,另外4例有明显改善,因此,在接受手术的20例患者中,16例治疗有效。对已发表的文献进行了综述,并强调需要由血管造影检查经验丰富的外科医生进行治疗,与内科和外科团队密切合作,后者要随时准备在出现任何轻微的手术性质并发症时进行干预。