自体肾移植治疗肾动脉狭窄引起的顽固性高血压:1例报告及文献复习。

Clinical Nephrology. Case Studies Pub Date : 2022-01-05 eCollection Date: 2022-01-01 DOI:10.5414/CNCS110565
Tahira Scott, Sree Krishna Venuthurupalli
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引用次数: 1

摘要

顽固性高血压是肾动脉狭窄的常见表现。肾动脉狭窄继发的高血压通常通过生活方式和药物干预来治疗,而血管成形术或支架置入术则不太常见,尽管确切的治疗方法因病因而异。在这些措施难治性的病例中,肾脏自体移植可能是一种有价值的最后途径。本病例报告展示了成功使用肾脏自体移植治疗顽固性高血压的年轻男性高松动脉炎和肾动脉狭窄的单肾。我们回顾了肾动脉狭窄患者自体肾移植的适应症,包括血压控制和肾功能的结果以及潜在的并发症。
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Kidney autotransplantation as a treatment for resistant hypertension due to renal artery stenosis: A case report and review of the literature.

Resistant hypertension is a common presentation of renal artery stenosis. Hypertension secondary to renal artery stenosis is typically managed with lifestyle and pharmacological interventions and less commonly with angioplasty or stenting, although exact treatment varies depending on the cause. In select cases refractory to these measures, kidney autotransplantation may be a valuable last-line approach. This case report demonstrates the successful use of kidney autotransplant for managing resistant hypertension in a young male with Takayasu's arteritis and renal artery stenosis of a solitary kidney. We review the literature on the indications for kidney autotransplantation in renal artery stenosis, including the outcomes on blood pressure control and renal function and also the potential complications.

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