Can quantitative renography predict the outcome of treatment of atherosclerotic renal artery stenosis?
Can quantitative renography predict the outcome of treatment of atherosclerotic renal artery stenosis?
复制标题
定量肾图可以预测动脉粥样硬化性肾动脉狭窄的治疗结果吗？
DOI：
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发表时间：
1989
影响因子：
9.3
通讯作者：
R. M. Fawdry
中科院分区：
文献类型：
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作者：
Gruenewald Sm;Lee T. Collins;Vince F. Antico;David Farlow;R. M. Fawdry
对31例动脉粥样硬化性肾动脉狭窄患者进行了定量γ照相机肾造影预测治疗结果的准确性评估。计算治疗前后（肾动脉血管成形术或血管手术）的肾小球滤过率、肾灌注、相对肾功能和平均实质通过时间。在长达6年的随访期间，还对患者进行了评估。在治疗前研究中，9例患者在肾动脉狭窄侧的肾脏中没有实质通过时间延长。尽管血管成形术在技术上是成功的，但这些患者均未显示血压显著降低或肾功能改善。22例患者受累肾脏的实质通过时间延长。3例出现治疗并发症，其余19例显示血压控制改善，实质通过时间缩短，相对肾功能改善。定量肾图可准确预测动脉粥样硬化性肾动脉狭窄介入治疗后改善的患者。在进展评估中，容易识别复发性狭窄的患者。
The accuracy of quantitative gamma camera renography in predicting outcome of treatment was assessed in 31 patients with atherosclerotic renal artery stenosis. Glomerular filtration rate, renal perfusion, relative renal function, and mean parenchymal transit time were calculated before and after treatment (renal artery angioplasty or vascular surgery). Patients were also assessed during the follow-up period of up to 6 years. On the pre-treatment study, nine patients did not have prolongation of parenchymal transit time in the kidney on the side of the renal artery stenosis. Despite technically successful angioplasties, none of these patients showed a significant reduction in blood pressure or improvement in renal function. Twenty-two patients had prolongation of parenchymal transit time in the affected kidney. Three suffered complications of treatment, and the remaining 19 showed improvement in blood pressure control, reduction in parenchymal transit time, and improvement in relative renal function. Quantitative renography accurately predicted those patients who improved following intervention for atherosclerotic renal artery stenosis. On progress evaluation, patients with recurrent stenoses were easily identified.
克利夫兰诊所经皮腔内血管成形术治疗肾动脉狭窄的经验。
DOI：
10.1016/s0022-5347(17)42500-6
发表时间：
1988
期刊：
The Journal of urology
影响因子：
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作者：
Hayes,JM;Risius,B;Novick,AC;Geisinger,M;Zelch,M;GiffordJr,RW;Vidt,DG;Olin,JW
通讯作者：
Olin,JW