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作者报道了10例肾动脉闭塞病例的经皮再通。女性6例,男性4例,年龄42～85岁。10例均为高血压,术前血清肌酐1例为80μmol/L,4例为130～250μmol/L;5例均超过350μmol/L。其中3例无尿。经股动脉插管,先插入标准的直导丝,在对比剂导向下,一步一步推进,一旦成功通过则以4F多侧孔直导管行预扩张,然后以3～4mm直径、2cm长的球囊行PTA。成功者灌注肝素72小时,口服阿斯匹林6个月。
The authors reported percutaneous recanalization of 10 cases of renal artery occlusion. 6 females, 4 males, aged 42 to 85 years old. All 10 cases were hypertension. Preoperative serum creatinine was 80 μmol / L in 1 case, 130 ~ 250 μmol / L in 4 cases and 350 μmol / L in 5 cases. Three of them had no urine. The femoral artery catheterization, the first straight into the standard guide wire, guided by the contrast agent, step by step, once successfully passed the 4F multi-lateral straight catheter pre-expansion, and then to 3 ~ 4mm diameter, 2cm long ball PTA. Successful heparin perfusion 72 hours, oral aspirin 6 months.