Smith R B, Cosimi A B, Lordon R, Thompson A L, Ehrlich R M
J Urol. 1976 Jun;115(6):639-42. doi: 10.1016/s0022-5347(17)59318-0.
Renal artery stenosis causing hypertension has been noted in 11 patients after successful renal transplantations. We believe that all patients with moderate to severe post-transplant hypertension should be evaluated with angiography and selective renin determinations. However, because of definite risk to the graft we believe that operative intervention should be undertaken only if hypertension is uncontrolled or if declining renal function is present and attributable to the stenosis.
在11例肾移植成功后的患者中发现了由肾动脉狭窄导致的高血压。我们认为，所有中重度移植后高血压患者都应接受血管造影和选择性肾素测定评估。然而，由于对移植物存在明确风险，我们认为仅在高血压无法控制或存在肾功能下降且归因于狭窄的情况下才应进行手术干预。
