Renal artery disease: diagnosis and management.
作者： Jeffrey W. Olin
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摘要: Renal artery stenosis (RAS) is most commonly due to either fibromuscular dysplasia or atherosclerosis. The former predominates in young women while atherosclerosis usually encountered individuals over the age of 55. common clinical manifestation hypertension, which can frequently be cured significantly improved with percutaneous balloon dilation. Atherosclerotic RAS may present renal failure (ischemic nephropathy), recurrent episodes congestive heart and flash pulmonary edema discovered incidentally during an imaging procedure for some other reason. Screening tests have considerably last decade. While captopril renography was utilized almost exclusively past, duplex ultrasound arteries magnetic resonance angiography replaced modalities as screening test choice many centers. Rarely does arteriogram performed diagnostic purposes only. Management consists three possible strategies: medical management, surgical management therapy angioplasty stent implantation. treatment control hypertension patients disease angioplasty. stenting has revascularization atherosclerotic who meet criteria intervention.
marmur.com 参考文章(63)
M R Jaff, J W Olin, Atherosclerotic stenosis of the renal arteries. Indications for intervention. Texas Heart Institute Journal. ,vol. 25, pp. 34- 39 ,(1998)
Leonard Zinman, John A. Libertino, Revascularization of the Chronic Totally Occluded Renal Artery with Restoration of Renal Function The Journal of Urology. ,vol. 118, pp. 517- 521 ,(1977) , 10.1016/S0022-5347(17)58091-X
Jeffrey W. Olin, Renal Artery Disease Current Medicine Group, London. pp. 81- 109 ,(2003) , 10.1007/978-1-4757-4564-1_4
J B Hermiller, T M Bashore, S J Schwab, K Harrison, M B Harding, L R Smith, H R Phillips, S I Himmelstein, C J Davidson, Renal artery stenosis: prevalence and associated risk factors in patients undergoing routine cardiac catheterization. Journal of The American Society of Nephrology. ,vol. 2, pp. 1608- 1616 ,(1992) , 10.1681/ASN.V2111608
Jeffrey W. Olin, The Utility of Duplex Ultrasound Scanning of the Renal Arteries for Diagnosing Significant Renal Artery Stenosis Annals of Internal Medicine. ,vol. 122, pp. 833- 838 ,(1995) , 10.7326/0003-4819-122-11-199506010-00004
Teresa L. Carman, Jeffrey W. Olin, Julianna Czum, Noninvasive imaging of the renal arteries Urologic Clinics of North America. ,vol. 28, pp. 815- 826 ,(2001) , 10.1016/S0094-0143(01)80036-7
Gerald Dorros, Michael Jaff, Lynne Mathiak, Isa I. Dorros, Adam Lowe, Kelly Murphy, Thomas He, Four-Year Follow-up of Palmaz-Schatz Stent Revascularization as Treatment for Atherosclerotic Renal Artery Stenosis Circulation. ,vol. 98, pp. 642- 647 ,(1998) , 10.1161/01.CIR.98.7.642
ThomasG. Pickering, RichardB. Devereux, GaryD. James, MichaelF. Silane, Lawrence Herman, JulioE. Sotelo, ThomasA. Sos, JohnH. Laragh, Recurrent pulmonary oedema in hypertension due to bilateral renal artery stenosis: treatment by angioplasty or surgical revascularisation. The Lancet. ,vol. 332, pp. 551- 552 ,(1988) , 10.1016/S0140-6736(88)92668-2
Robert D. Safian, Stephen C. Textor, Renal-Artery Stenosis The New England Journal of Medicine. ,vol. 344, pp. 431- 442 ,(2001) , 10.1056/NEJM200102083440607
PN Harden, MJ MacLeod, RSC Rodger, GM Baxter, JMC Connell, AF Dominiczak, BJR Junor, JD Briggs, JG Moss, Effect of renal-artery stenting on progression of renovascular renal failure The Lancet. ,vol. 349, pp. 1133- 1136 ,(1997) , 10.1016/S0140-6736(96)10093-3