支架置入治疗肾血管性高血压报告  

Stent Placement to Treat Renovascular Hypertension

作　　者：蒋雄京[1] 明广华[1] 吴海英[1] 王静[1] 王蕾礼[1] 郑德裕[1] 刘国仗[1] 刘力生[1] 

机构地区：[1]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院高血压研究室100037

出　　处：《高血压杂志》2000年第2期140-142,共3页Chinese Journal of Hypertension

摘　　要：目的 :评估支架置入治疗肾动脉狭窄的安全性和疗效。方法 :6例患者 (男 3,女 3) ,年龄 38± 17岁 ,患有严重的肾动脉狭窄 (8条病变 ) ,因单用高压球囊扩张效果不满意 ,置入球囊扩张支架。术后定期随访。结果 :1条病变残留狭窄 10 % ,其余 7条病变无残留狭窄。所有患者血压均有明显下降 ,收缩压从 16 4± 13m m Hg降至 12 7± 16 mm Hg;舒张压从 98± 11mm Hg降至 80± 10 mm Hg。 3例停用降压药物血压仍正常 ,另 3例降压药从 4种减至 2种血压仍能满意控制。平均随访 6± 2月 ,疗效能稳定维持。结论 :支架置入是治疗肾血管性高血压的安全有效方法 ,其初步疗效满意 。Objectives:To evaluate the safety and efficacy of stent placement in patients with hypertension caused by renal artery stenoses. Methods:6 patients(3 man and 3 women), aged 14～57 years suffered from severe renal artery stenosis. Balloon expandable stents were placed in 8 arteries(diameter reduction 80%～100%), who had not been satisfactorily treated by high pressure balloon angioplasty. Mean 6 months of follow up was carried out. Results:Angiographic image were obtained after operation,there are remained stenosis 10% in one artery and all right in other 7 artery. Early clinical improvement was seen in all patients. Their mean systolic blood pressure was reduced from 164±13 mmHg to 127±16 mmHg,the diastolic blood pressure from 98±11 to 82±10 mmHg. Three of six patients no need to take antihypertensive drug maintained normal blood pressure, while another three patients reduced the antihypertensive drug. Conclusion:Renal artery stenting appears to be an effective and safe treatment for renovascular hypertension.

关 键 词：肾动脉狭窄 治疗 支架置入 高血压 

分 类 号：R544.1[医药卫生—心血管疾病]