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[经皮腔内血管成形术(PTA)前后肾血管性高血压患者的血压、肾血浆流量及肾静脉肾素活性变化]

[Behavior of blood pressure, renal plasma flow and renal vein renin activity in renovascular hypertensive patients before and after PTA].

作者信息

Arlart I P, von Dewitz H, Rosenthal J

出版信息

Radiologe. 1983 May;23(5):219-23.

PMID:6223336
Abstract

Percutaneous transluminal angioplasty (PTA) is more and more accepted for interventional management of renal artery stenosis in hypertensive patients. This study was carried out to assess the behaviour of arterial blood-pressure, renal plasma flow and renal venous renin activity in renovascular hypertension following catheter dilatation. Using the data the possibility is calculated to predict the effect of PTA on blood pressure preinterventionally. The results demonstrate that a successful employment of PTA depends on a normal contralateral renal plasma flow and a normalization of plasma flow of the post-stenotic kidney. Determination of plasma renin activity is only of restricted value.

摘要

经皮腔内血管成形术(PTA)在高血压患者肾动脉狭窄的介入治疗中越来越被广泛接受。本研究旨在评估导管扩张术后肾血管性高血压患者的动脉血压、肾血浆流量和肾静脉肾素活性的变化情况。利用这些数据计算出术前预测PTA对血压影响的可能性。结果表明,PTA的成功实施取决于对侧肾血浆流量正常以及狭窄后肾脏的血浆流量恢复正常。血浆肾素活性的测定价值有限。

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