Levin D C
JAMA. 1984 Feb 10;251(6):759-63.
Percutaneous transluminal angioplasty (PTA) of renal artery stenosis has proved highly efficacious, particularly in patients with lateralizing renal vein renin ratios, fibromuscular dysplasia, and atherosclerotic lesions confined to one renal artery without involvement of the aortic wall surrounding the renal ostium. In some series, a moderate recurrence rate has been reported, but these recurrences usually respond well to redilatation. Complications are relatively rare and generally not serious. Early results compare favorably with those of large surgical series. Some of the disparities in published results of renal PTA may be accounted for by differences in technique. Important advances in both equipment and PTA technique have occurred since the procedure was introduced in 1978; these may prove to favorably affect the long-term results.
经皮腔内肾动脉血管成形术（PTA）已被证明非常有效，特别是对于肾静脉肾素比值呈侧化、患有纤维肌性发育不良以及局限于一条肾动脉且未累及肾门周围主动脉壁的动脉粥样硬化病变的患者。在一些系列研究中，报道了中度的复发率，但这些复发通常对再次扩张反应良好。并发症相对较少且一般不严重。早期结果与大型外科手术系列的结果相比具有优势。肾PTA已发表结果中的一些差异可能是由技术差异造成的。自1978年该手术引入以来，设备和PTA技术都取得了重要进展；这些可能会对长期结果产生有利影响。
