动脉粥样硬化性肾动脉狭窄的支架血管重建术。1年临床随访。
Stent revascularization for atherosclerotic renal artery stenosis. 1-year clinical follow-up.
作者信息
Dorros G, Jaff M R, Mathiak L, Dorros I I, Lowe A, Murphy K, He T
机构信息
William Dorrosisadore Feuer Interventional Cardiovascular Disease Foundation Ltd., Milwaukee, Wisconsin, USA.
出版信息
Tex Heart Inst J. 1998;25(1):40-3.
Abstract
Patients who had undergone stent revascularization of renal artery stenosis for poorly controlled hypertension, preservation of renal function, or both were monitored to assess the procedure's effect upon subsequent renal function and blood pressure control. At 1-year follow-up, systolic and diastolic blood pressures had significantly decreased (166 +/- 26 to 156 +/- 25 mmHg and 86 +/- 14 to 80 +/- 13 mmHg, respectively; P < 0.05), and creatinine levels decreased or remained stable in approximately two thirds of the patients. Renal artery stent revascularization appears to have a beneficial effect upon blood pressure control and a nondeleterious effect upon renal function in the majority of patients.
摘要
因高血压控制不佳、肾功能保护或两者兼而有之而接受肾动脉狭窄支架血管重建术的患者，接受监测以评估该手术对后续肾功能和血压控制的影响。在1年的随访中，收缩压和舒张压显著下降（分别从166±26降至156±25 mmHg和从86±14降至80±13 mmHg；P<0.05），约三分之二的患者肌酐水平下降或保持稳定。肾动脉支架血管重建术似乎对大多数患者的血压控制有有益作用，对肾功能无有害影响。
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