Lux E, Seybold D, Grosse-Vorholt R, Zeitler E, Gessler U
Fortschr Med. 1980 Apr 17;98(15):563-8.
14 patients with severe hypertension showed unilateral (7) or bilateral (6) stenoses of renal artery due to arteriosclerosis (12) or fibromuscular hyperplasia (7); one stenosis appeared after renal transplantation. Successful application of percutaneous transluminal angioplasty of renal artery was performed in 14 stenoses. 4 of 10 patients showed normal values of blood-pressure, in 4 patients blood-pressure was improved, in 2 patients hypertension remained unchanged. The patients were observed 1 to 23 months after dilatation; antihypertensive drugs were necessary in all cases, but could be reduced. The effectiveness of the procedure was demonstrated by renal arteriogram and determination of pre- and poststenotic blood-pressure values.
14例重度高血压患者因动脉硬化（12例）或纤维肌性增生（7例）出现单侧（7例）或双侧（6例）肾动脉狭窄；1例狭窄发生在肾移植后。对14处狭窄成功实施了经皮腔内肾动脉血管成形术。10例患者中有4例血压值恢复正常，4例患者血压有所改善，2例患者高血压情况无变化。扩张术后对患者进行了1至23个月的观察；所有病例均需使用降压药物，但用量可减少。通过肾动脉造影以及狭窄前后血压值的测定证明了该手术的有效性。
