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目的探讨移植肾动脉狭窄的支架治疗效果与安全性.方法1例肾移植术后的女性患者,2 a前采用移植肾动脉与髂内动脉远端行端-端吻合术,移植肾脏固定在右髂窝内.术后2 a发生移植肾动脉狭窄80%,狭窄性病变长度15 mm,接受了支架治疗.从左股动脉入路,应用Judkin 6F右冠指引导管,植入冠脉金属裸支架4.0 mm×18 mm的R-stent,18 atm×20 s释放.结果支架扩张和贴壁良好,狭窄病变解除,无残余狭窄,血流TIMIⅢ级,术后患者血压平稳.结论支架术治疗移植肾动脉狭窄效果显著,安全.
Objective To investigate the efficacy and safety of stents for renal artery stenosis.Methods Female patients after renal transplantation were treated with end-to-end anastomosis of renal artery and internal iliac artery 2 days before transplantation, Iliac fossa.After 2 days of transplantation renal artery stenosis 80%, stenosis length 15 mm, received the stent treatment.From the left femoral artery approach, the application of Judkin 6F right coronary guide catheter implantation of bare metal stent coronary artery 4.0mm × 18mm R-stent, 18atm × 20s release.Results Stent expansion and adherent well, the stenosis lesion relief, no residual stenosis, blood flow TIMI Ⅲ level, postoperative blood pressure was stable.Conclusion Stenting for the treatment of renal graft Artery stenosis effect is significant and safe.