about one cases of renal artery angiography and stent implantation care（约1例肾动脉造影及支架植入术治疗）.docVIP

About one cases of renal artery angiography and stent implantation care [Keywords renal artery stenosis; renal arteriography; stenting; care Renal artery stenosis is the most common cause of secondary hypertension, the incidence rate of hypertension in the 5% to 10%. The traditional treatment is surgical-based, including kidney autologous transplantation, renal artery reconstruction (bypass surgery) and nephrectomy. Recent years, renal arteriography become the “gold standard” for the diagnosis of renal artery stenosis, can not only accurately display narrow the site, extent of disease, the degree of stenosis, can also indirectly prompted the etiology of renal artery stenosis in conjunction with the application of stent implantation, and effective treatment of renal artery stenosis and concurrent hypertension, a significant improvement in clinical symptoms, improve quality of life. currently renal artery stenting has replaced the traditional surgery has become the preferred treatment .2011 May 1 cases treated in our hospital patients with renal hypertension, renal artery angiography and stent implantation treatment, dizziness symptoms improved significantly , blood pressure is well controlled and now the process of treatment and care of the patients reported as follows. 1 Clinical data Patients, male, 74 years old, on May 2, 2011 due to “repeated dizziness five years, and then made one day,” admitted renal artery CTA prompt: moderate stenosis of the right renal artery, the initial segment of the right renal artery approximately 6mm long narrow change, narrow about 70%, no significant stenosis of the left renal artery and main branches. medical advice line renal artery angiography and stent implantation on May 5, 2011 in the cath lab, returned after surgery with femoral artery sheath ward 6h after pulling out of its scabbard tube, puncture site bandaged. postoperative orders were given anti-infection, anticoagulation, rehydration therapy, close observatio