Atherosclerotic renal artery stenosis and resistant vasorenal hypertension: evaluation of the results of endovascular treatment methods
- 作者: Kryukov E.V.1, Davydov D.V.2, Fursov A.N.2, Potekhin N.P.2, Zakharova E.G.2, Chernov S.A.2, Chernetsov V.A.2, Kranin D.L.2, Gaidukov A.V.2
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隶属关系:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- 期: 卷 344, 编号 8 (2023)
- 页面: 22-26
- 栏目: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/631347
- DOI: https://doi.org/10.52424/00269050_2023_344_8_22
- ID: 631347
如何引用文章
详细
The effectiveness of endovascular correction of hemodynamically significant atherosclerotic stenosis of the renal arteries in patients with resistant vasorenal hypertension was analyzed. It was shown that after endovascular interventions, blood pressure levels significantly decrease in all patients, the number of antihypertensive drugs significantly decreases, while the dynamics of kidney functional parameters depend on their initial state. The possibility of developing radiopaque nephropathy in the early postoperative period should be considered. Correction of renal artery stenosis due to atherosclerosis is recommended for resistant hypertension.
全文:
作者简介
E. Kryukov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
заслуженный врач РФ, академик РАН, профессор, генерал-лейтенант медицинской службы
俄罗斯联邦, St. PetersburgD. Davydov
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
профессор, генерал-майор медицинской службы
俄罗斯联邦, MoscowA. Fursov
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
编辑信件的主要联系方式.
Email: fursovan@mail.ru
заслуженный врач РФ, профессор, полковник медицинской службы запаса
俄罗斯联邦, MoscowN. Potekhin
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
заслуженный врач РФ, профессор, полковник медицинской службы в отставке
俄罗斯联邦, MoscowE. Zakharova
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
кандидат медицинских наук
俄罗斯联邦, MoscowS. Chernov
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
заслуженный врач РФ, доктор медицинских наук, полковник медицинской службы запаса
俄罗斯联邦, MoscowV. Chernetsov
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
заслуженный врач РФ, доктор медицинских наук, полковник медицинской службы
俄罗斯联邦, MoscowD. Kranin
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
заслуженный врач РФ, доктор медицинских наук, полковник медицинской службы
俄罗斯联邦, MoscowA. Gaidukov
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: fursovan@mail.ru
俄罗斯联邦, Moscow
参考
- Давыдов Д.В., Фурсов А.Н., Потехин Н.П. и др. Современные подходы к лечению больных с сердечно-сосудистыми заболеваниями: Практические рекомендации для врачей и больных. – М.: ГВКГ им. Н.Н.Бурденко, 2022. – 36 с.
- Клинические рекомендации – Хроническая болезнь почек (ХБП) / Утв. Минздравом РФ. – М., 2021. – 162 с.
- Кобалава Ж.Д., Конради А.О., Недогода С.В. и др. Артериальная гипертензия у взрослых. Клинические рекомендации // Рос. кардиол. журн. – 2020. – Т. 25, № 3. – С. 149–218.
- Крюков Е.В., Фурсов А.Н., Потехин Н.П. Оптимизация диагностики вторичных форм артериальной гипертензии // Воен.- мед. журн. – 2017. – Т. 338, № 5. – С. 20–28.
- Руководство по кардиологии в четырех томах. Том 4: Заболевания сердечно-сосудистой системы / Под ред. акад. Е.И.Чазова. – М.: Практика, 2014. – 976 с.
- Халафян А.А. Современные статистические методы медицинских исследований. – М.: ЛКИ, 2008. – 320 с.
- Cooper С.J., Murphy T.P., Cutlip D.E. et al. Stenting and medical therapy for atherosclerotic renal-artery stenosis // N. Engl. J. Med. – 2014. – Vol. 370, N 1. – P. 13–22. doi: 10.1056/NEJMoa1310753
- Cooper C.J., Murphy T.P., Matsumoto A. et al. Stent revascularization for the prevention of cardiovascular and renal events among patients with renal artery stenosis and systolic hypertension: rationale and design of the CORAL trial // Am. Heart J. – 2006. – Vol. 152, N 1. – P. 59–66. doi: 10.1016/j.ahj.2005.09.011
- Jaff M.R., Bates M., Sullivan T. et al. Significant reduction in systolic blood pressure following renal artery stenting in patients with uncontrolled hypertension: results from the HERCULES trial // Catheter. Cardiovasc. Interv. – 2012. – Vol. 80, N 3. – P. 343–350. doi: 10.1002/ccd.24449
- Jenks S., Yeoh S.E., Conway B.R. Balloon angioplasty, with and without stenting, versus medical therapy for hypertensive patients with renal artery stenosis // Coch. Dat. of System. Reviews. – 2014. – Vol. 12. doi: 10.1002/14651858
- John A. Bittl. Treatment of atherosclerotic renovascular disease // N. Engl. J. Med. – 2014. – Vol. 370, N 1. – P.78–79. doi: 10.1056/NEJMe1313423
- Niepen P., Patrick Rossignol P., Lengelе L-P. et al. Renal Artery Stenosis in Patients with Resistant Hypertension: Stent It or Not? // Cur. Hypertens. Rep. – 2017. – Vol. 9, N 1. – P. 5. doi: 10.1007/s11906-017-0703-8
- Wheatley K., Ives N., Gray R. et al. Revascularization versus Medical Therapy for Renal-Artery Stenosis. The ASTRAL Investigators // N. Engl. J. Med. – 2009. – Vol 361, N 20. – P. 1953–1962. doi: 10.1056/NEJMoa0905368
- Williams B., Mancia G., Spiering W. et al. Guidelines for the management of arterial hypertension. ESC Scientific Document Group. ESC/ESH // Eur. Heart J. – 2018. – Vol. 39, N 33. – Р. 3021–3104. doi: 10.1093/eurheartj/ehy339