[1]吕天娇,李凌燕,张 弘,等.肾动脉主干加分支射频消融在难治性高血压治疗中的应用[J].介入放射学杂志,2020,29(09):879-882.
Lv Tianjiao,LI Lingyan,ZHANG Hong,et al.Application of radiofrequency ablation of the main renal artery together with its branch in treating resistant hypertension[J].journal interventional radiology,2020,29(09):879-882.
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肾动脉主干加分支射频消融在难治性高血压治疗中的应用()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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29
- 期数:
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2020年09
- 页码:
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879-882
- 栏目:
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心脏介入
- 出版日期:
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2020-09-25
文章信息/Info
- Title:
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Application of radiofrequency ablation of the main renal artery together with its branch in treating resistant hypertension
- 作者:
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吕天娇; 李凌燕; 张 弘; 张 华; 李清丽; 邓伟明; 段秋霞; 郜俊清; 刘宗军
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- Author(s):
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Lv Tianjiao; LI Lingyan; ZHANG Hong; ZHANG Hua; LI Qingli; DENG Weiming; DUAN Qiuxia; GAO Junqing; LIU Zongjun.
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Department of Cardiology, Affiliated Putuo District Central Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China
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- 关键词:
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【关键词】 肾动脉分支去神经化; 难治性高血压; 经皮肾交感神经射频消融术
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨肾动脉分支去神经化在经皮肾交感神经射频消融治疗难治性高血压中的应用。 方法 入选难治性高血压患者60例,完成肾动脉造影后随机分为单纯主支消融组、主支+分支消融组,各30例。观察分析患者基本资料,手术相关参数(消融点数、温度、平均能量),术前和术后2年诊室血压、动态血压等。 结果 两组患者年龄、伴发疾病、用药情况差异无统计学意义(P>0.05)。主支+分支消融组消融点数与单纯主支消融组相比呈显著增加趋势。两组患者术后诊室血压、动态血压均低于术前(P<0.05)。术后3~12个月期间主支+分支消融组诊室血压显著低于单纯主支消融组(P<0.001),但术后15~24个月期间两组差异无统计学意义(P>0.05)。 结论 肾动脉主支+分支消融术治疗难治性高血压安全有效,但远期随访中与单纯主支消融相比无明显优势。
参考文献/References:
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[3] Papademetriou V, Worthley S, Tsioufis C, et al. Catheter- based renal denervation for the treatment of patients with drug- resistant hypertension: EnligTHN I: three- month data of a first in man study using a multi- electrode radiofrequency ablation catheter[J]. Circulation, 2012, 125: A19523.
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[10] 潘 涛,郭金和,滕皋军. 经导管肾交感神经射频消融术临床研究进展[J]. 介入放射学杂志, 2015, 24:1113- 1118.
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备注/Memo
- 备注/Memo:
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(收稿日期:2019- 11- 16)
(本文编辑:边 佶)
更新日期/Last Update:
2020-09-15