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肾动脉闭塞的介入治疗
引用本文:李选,李子祥,田昭俭,李振芝,曲雯,谢敬霞. 肾动脉闭塞的介入治疗[J]. 中华放射学杂志, 2002, 36(2): 111-113
作者姓名:李选  李子祥  田昭俭  李振芝  曲雯  谢敬霞
作者单位:1. 100083,北京大学第三医院放射科
2. 青岛医学院放射科
3. 胜利油田中心医院放射科
基金项目:国家“九五”科技攻关项目 ( 96 90 7 0 3 0 1)
摘    要:目的:评价介入治疗肾动脉完全闭塞的疗效。方法:13例肾动脉完全闭塞患者肾动脉再通术,肾动脉球囊扩张及支架置入术。肾动脉支架分别为Palmaz(8例),Symphony(1例),Optimed(3例)。结果:12例技术成功,其中血压下降至正常4例,明显下降8例,无效1例。多数病例(6/7)肾小球滤过率增加。1例发生严重合并症(肾动脉破裂)。结论:介入治疗肾动脉完全闭塞可获得较满意的疗效。

关 键 词:肾动脉梗阻 血管成形术 介入性放射学 治疗
修稿时间:2001-07-18

Interventional therapy for the renal artery total occlusion
LI Xuan ,LI Zixiang,TIAN Zhaojian,LI Zhenzhi,QU Wen,XIE Jingxia. Interventional therapy for the renal artery total occlusion[J]. Chinese Journal of Radiology, 2002, 36(2): 111-113
Authors:LI Xuan   LI Zixiang  TIAN Zhaojian  LI Zhenzhi  QU Wen  XIE Jingxia
Affiliation:LI Xuan *,LI Zixiang,TIAN Zhaojian,LI Zhenzhi,QU Wen,XIE Jingxia. *Department of Radiology,the Third Hospital of Peking University,Beijing 100083,China
Abstract:Objective To evaluate the results of interventional therapy for the treatment of renal artery total occlusion. Methods Thirteen cases of renal artery total occlusion were treated with renal artery recanalization, PTRA, and stent implantation. 12 stents were implanted (Palmaz stent in 8 cases, Synphony stent in 1 case, and Optimed stent in 3 cases). Result Technical success (recanalization) was achieved in 12 of 13 cases. Hypertension was cured in 4 cases and improved in 8 cases during the follow up (2-24 months). GFR was improved in 6 of 7 cases. Severe complication of renal artery rupture happened in 1 case. Conclusion Interventional therapy is a promising method for the treatment of total occlusion of renal artery.
Keywords:Renal artery obstruction  Angioplasty  Stents  Radiology   interventional
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