Reiher L, Sandmann W
Klinik für Gefässchirurgie und Nierentransplantation, Heinrich-Heine-Universität Düsseldorf.
Chirurg. 1995 Sep;66(9):914-5.
Main reasons for obstruction of renal arteries are atherosclerosis and fibromuscular dysplasia. In our clinic transaortic renal endarterectomy and interposition of a vein segment are preferred for arterial reconstruction. The surveillance of the distal intimal ridge after blind transaortic endarterectomy is still an unsolved problem, and the distal anastomosis of a vein graft must be checked, as it is performed under difficult conditions, if the suture is done in situ. We introduce angioscopy as a means of intraoperative surveillance.
肾动脉阻塞的主要原因是动脉粥样硬化和纤维肌发育异常。在我们的诊所，经主动脉肾动脉内膜切除术及静脉段间置术是动脉重建的首选方法。盲目经主动脉内膜切除术后对远端内膜嵴的监测仍是一个未解决的问题，并且如果原位进行缝合，由于静脉移植物的远端吻合是在困难条件下完成的，必须对其进行检查。我们引入血管内镜作为术中监测手段。
