肾动脉支架置入术治疗老年粥样硬化性肾动脉狭窄的研究.pdfVIP

2008 4 16 2 Chin J Intervent Cardiol, April 2008, Vol 16, No 2 87 赵佳慧 程庆砾 马媛 张晓英 叶平 (ARA ) (PTRA ) 2003 1 2006 3 ARA 70% 65, ( 35, PTRA ) ( 8, ) PTRA PTRA 3[ ( 1554 248) /( 794 108) mm H g ( 1268 109) / ( 673 89) mm H g; P 001), 12[ ( 1346 155) /( 686 74) mm H g](P 001), 24, ( 26 10 6 19 09; P 001), 12 , 12 12688% , 156% , , 24 357% 12Logistic, PTRA 12 3(P = 0005, OR = 465), (P = 0019, OR = 024) PTRA 20% PTRA (P = 0027, OR = 4782) PTRA 24 ARA PTRA ARA , ; ; ; C lin ical ou tcom e of p ercutaneous tran slum in al renal angiop lasty w ith stent im p lantation in elderly ZH A O J iah u,i CHEN G Q ing li, MA Yuan, et al A bstract O bj ective To study the clinical outcom e of percutaneous translum inal angiop lasty w ith stent mi plantation (PTRA ) in the elderly w ith atherosclerotic renal artery stenosis (ARA ) M ethod s Retrospective analysis w as carried out on 35 elderly patients ( age 65 years) w ho had angiography confirm ed ARA ( artery stenosis 70% ) and received PTRA in our hospital during January 2003 to M arch 2006 Their changes in b lood pressure level, renal function and incidence of operation related comp lication were mon itored during the follow up E ight patientsw ith ARA who w ere adm itted du ring the sam e period but refused to undergo PTRA w ere enrolled as the controlR esu lts Com paredw ith the pre operational level, blood pressure of the patients in the PTRA group showed noticib le decrease 3 days after the operation ( 1554 248/794 108mm Hg vs 1268 109/673 89 mm H g, P 001) and the decrease substained till 12 months after the operation (P 001), but the blood pressure resum ed gradually to the preoperational level after 24 monthsThem ean num ber of antihypertensive drugs decreased from 26 10 to 19 09 at 6 m onths after PTRA (P 00