Weibull H, Törnquist C, Bergqvist D, Nyman U, Takolander R, Karlsson S, Bergentz S E
Acta Chir Scand. 1984;150(4):295-300.
Three patients developed reversible renal insufficiency after successfully performed PTA at the same time as their hypertension was beneficially influenced. The main cause of this complication probably is toxic effects of contrast medium in combination with the temporary occlusion of the renal artery during the PTA of kidneys with previously damaged parenchymal and impaired perfusion. During the phase of renal insufficiency contrast medium retention in the renal cortex was noted at computed tomography.
三名患者在成功进行经皮腔内血管成形术(PTA)后出现可逆性肾功能不全,与此同时他们的高血压病情得到了有益改善。这种并发症的主要原因可能是造影剂的毒性作用,再加上在对先前实质受损且灌注受损的肾脏进行PTA期间肾动脉的暂时闭塞。在肾功能不全阶段,计算机断层扫描显示造影剂在肾皮质潴留。