[Surgical treatment of fibromuscular dysplasia of renal arteries in adults].
Vestn Khir Im I I Grek
; 169(4): 44-8, 2010.
Article
en Ru
| MEDLINE
| ID: mdl-20973185
The authors have analyzed an experience with treatment of 16 patients. All the patients had renovascular hypertension (RVH) and 3 of them had renal dysfunction. Revascularization of the kidneys (RK) was fulfilled in 11 patients by shunting (9) or prosthesis (2) of the renal arteries. In 7 patients percutaneous endovascular angioplasty (PEA) was used. There were neither complications nor lethal outcomes. Arterial pressure normalized in 7 patients and in 9 RVH was better. In the long-term period (at the average within 21 months) 14 patients were followed-up. In 3 patients having perimedial and intimal fibroplasty of RA after PEA restenoses were diagnosed. They had repeated RK. Renal function became better in 1 patient, in 2 patients there was no substantial dynamics. All shunts were passable. The analysis of the data has shown that liquidation of RVH in patients with FMD of RA has inverse dependence on its duration, and decision on the method of RK depends on the type of RA, experience of the specialists, the patients desire included.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Arteria Renal
/
Obstrucción de la Arteria Renal
/
Displasia Fibromuscular
Tipo de estudio:
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ru
Revista:
Vestn Khir Im I I Grek
Año:
2010
Tipo del documento:
Article
Pais de publicación:
Rusia