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31_1781.pdf | 2.15 MB | Adobe PDF | 見る/開く |
タイトル: | 腎血管性高血圧に対するPercutaneous Transluminal Angioplastyによる非観血的治療 |
その他のタイトル: | Nonsurgical treatment of renovascular hypertension by percutaneous transluminal angioplasty |
著者: | 宇佐美, 道之 織田, 英昭 鍋島, 晋次 古武, 敏彦 小林, 享 木戸口, 公一 |
著者名の別形: | Usami, Michiyuki Oda, Hideaki Nabeshima, Shinji Kotake, Toshihiko Kobayashi, Tohru Kidoguchi, Kooichi |
キーワード: | Adult Angioplasty, Balloon Blood Pressure Female Fibromuscular Dysplasia/complications Humans Hypertension, Renovascular/etiology/physiopathology/therapy Renal Artery/radiography Renin/blood |
発行日: | Oct-1985 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 31 |
号: | 10 |
開始ページ: | 1781 |
終了ページ: | 1786 |
抄録: | A case of renovascular hypertension treated with percutaneous transluminal angioplasty is reported. Our patient was a 22-year-old housewife with 90 per cent stenosis of the right renal artery due to fibromuscular dysplasia. The renal artery was dilatated by percutaneous transluminal angioplasty with a Grutzig balloon catheter to 25 per cent stenosis. Five hours after the procedure, blood pressure decreased from 180/114 mmHg to 130/95 mmHg; one day after, plasma renin activity fell from 4.7 ng/ml/hr to 1.7 ng/ml/hr. The patient was rehospitalized six months after percutaneous transluminal angioplasty to examine restenosis of the dilatated renal artery. Although her blood pressure remained normotensive and plasma renin activity was normal, replasty was performed since selective renal arteriography revealed 50 per cent stenosis. |
URI: | http://hdl.handle.net/2433/118629 |
PubMed ID: | 2936214 |
出現コレクション: | Vol.31 No.10 |
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