PERCUTANEOUS TRANS-LUMINAL ANGIOPLASTY FOR RENAL-ARTERY STENOSIS IN A SOLITARY FUNCTIONING KIDNEY - ALTERNATIVE TO SURGERY IN THE HIGH-RISK PATIENT

被引:52
作者
WEINBERGER, MH
YUNE, HY
GRIM, CE
LUFT, FC
KLATTE, EC
DONOHUE, JP
机构
[1] INDIANA UNIV, DEPT RADIOL, INDIANAPOLIS, IN 46204 USA
[2] INDIANA UNIV, DEPT MED, INDIANAPOLIS, IN 46204 USA
关键词
D O I
10.7326/0003-4819-91-5-684
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In five patients with hypertension and marked impairment of renal function due to renal artery stenosis in a solitary functioning kidney, a nonsurgical technique, percutaneous transluminal angioplasty, was used to dilate the stenotic and renal function improved in three. One patient subsequently died of multiple cardiovascular complications, and in one patient the procedure resulted in acute renal failure requiring hemodialysis. Although preliminary, this experience suggests that percutaneous transluminal angioplasty may provide an attractive alternative to surgery in severely ill patients at high surgical risk.
引用
收藏
页码:684 / 688
页数:5
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