Nakada T, Yanagi S, Katayama T
J Urol. 1982 Mar;127(3):526-7. doi: 10.1016/s0022-5347(17)53896-3.
We report a case of typical renovascular hypertension due to right renal artery stenosis treated with percutaneous transluminal angioplasty. The followup arteriogram demonstrated merely a partial dilatation of the stenotic segment but hypertension was remarkably improved. A right-to-left ratio of plasma renin activity in the renal venous effluent decreased from 2.67:1 to 1.10:1 following treatment. Affected renal function in the previously stenotic side was ameliorated. The procedure was well tolerated by the patient and blood pressure remained normotensive during the 5 months after angioplasty.
我们报告了一例因右肾动脉狭窄导致的典型肾血管性高血压患者，采用经皮腔内血管成形术进行治疗。随访血管造影显示狭窄段仅部分扩张，但高血压得到显著改善。治疗后，肾静脉流出液中血浆肾素活性的右左比值从2.67:1降至1.10:1。先前狭窄侧受影响的肾功能得到改善。患者对该手术耐受性良好，血管成形术后5个月血压保持正常。
