[1]张泽富,梁惠民,冯敢生,等.移植肾动脉狭窄介入治疗[J].介入放射学杂志,2008,(09):623.
 ZHANG Zefu,LIANG Hui ming,FENG Gansheng,et al.Interventional treatment of transplanted renal artery stenosis[J].journal interventional radiology,2008,(09):623.
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移植肾动脉狭窄介入治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年09期
页码:
623
栏目:
血管介入
出版日期:
2008-09-15

文章信息/Info

Title:
Interventional treatment of transplanted renal artery stenosis
作者:
张泽富梁惠民冯敢生
430022武汉华中科技大学附属协和医院放射科
Author(s):
ZHANG Ze-fuLIANG Hui -mingFENG Gan-shengZHENG Chuan-shengWU Han-pinZHOU Guo-feng
Department of Radiology,Wuhan Union Hospital,Huazhong University of Science and Technology,Wuhan430022,China
关键词:
经皮血管腔内成形术肾动脉狭窄肾移植支架置入
分类号:
R692.16
文献标志码:
A
摘要:
目的探讨移植肾动脉狭窄(TRAS)介入治疗的方法、疗效和安全性。方法经股动脉入路对12例TRAS患者行介入治疗,包括经皮血管腔内成形术(PTA)和支架置入术。患者从肾移植术后至出现肾动脉狭窄症状平均5.5个月(4~15个月),以手术前后血压、血肌酐、动脉狭窄程度作为判断疗效的指标。结果本组4例行单纯球囊(长20~40mm,直径5~7mm)扩张,5例于PTA后置入支架,3例直接置入支架。PTA术后2例(17%)复发狭窄,行支架置入术;支架术后3例再发狭窄,再次行PTA后无复发。12例患者先后共置入9枚球囊扩张式支架,1枚为自膨式支架。介入治疗前肾动脉狭窄率为65%~95%,术后狭窄率降为10%~25%;平均血压由术前175/105mmHg ,降至术后140/80mmHg ;平均血肌酐水平由术前475.5μmol/L降至术后118.5μmol/L;术后随访3~48个月(平均9个月),12例中最终治愈4例,改善5例,好转2例,无效1例。手术成功率100%,术中未发生血栓、出血、移植肾栓塞等严重并发症。结论TRAS的介入治疗安全有效,选择恰当入路,合理选择和组合运用PTA与支架置入术,可有效提高TRAS的远期疗效和手术成功率。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2008-07-21
更新日期/Last Update: 2008-09-15