Khamzabaev Zh Kh
Kardiologiia. 1980 Feb;20(2):83-7.
The radiological signs of collateral blood flow were studied in 254 patients with vasorenal hypertension, 142 of whom had atherosclerosis, 59 had fibrous dysplasia, and 53 had aortoarteritis. The collaterals were found to be more pronounced in the two forms of hypertension mentioned last (55.9 and 58.5%, respectively). The patients' age and the sharp degree of renal artery stenosis are the main factors determining the development of collaterals. The collateral blood flow prevents the development of ischemic atrophy of the kidney to a certain measure, but does not protect the patients from hypertension. The specific features of the collateral channels are revealed more fully by using various methods of renal vasography, which is important in assessment of the character of the pathological condition and the choice of the therapeutic tactics.
对254例肾血管性高血压患者的侧支血流放射学征象进行了研究，其中142例患有动脉粥样硬化，59例患有纤维发育不良，53例患有大动脉炎。发现后两种高血压形式中的侧支更为明显（分别为55.9%和58.5%）。患者的年龄和肾动脉狭窄的严重程度是决定侧支形成的主要因素。侧支血流在一定程度上可防止肾脏缺血性萎缩的发生，但不能使患者免于高血压。通过使用各种肾血管造影方法能更全面地揭示侧支通道的具体特征，这对于评估病理状况的性质和选择治疗策略具有重要意义。
