肾血管病的处理.pptVIP

Management of Renovascular Hypertension; Interrelation among Renal Artery Stenosis, Hypertension, and Chronic Renal Failure ; Definition of Renal Artery StenosisRenal artery stenosis (RAS) is defined as narrowing of the lumen of the renal artery. *angiographic diameter stenosis50%*translesional pressure gradient of 20 mm Hg peak systolic  or 10 mm Hg mean The most common causes of RAS are atherosclerosis (80%) , aortoarteritis(15%), and fibromuscular dysplasia(5%) in China;Angiographic Appearance of the Three Common Forms of Renal Artery Stenosis;Prevalence;Incidence of Renal Artery Stenosis at Cardiac Catheterization ;Incidence of Renal Artery Stenosis at Cardiac Catheterizationin Chinese population ;精选ppt;Progressive Atherosclerosis, Renal Artery Stenosis, and Ischemic Nephropathy ;the clinical manifestations of ARVD ;Clinical features suggestive of renovascular hypertensionJNC-VI ;Screening for Renovascular Hypertension;Multi-slices CTA is most useful for RAS screening;Severity of renal vascular disease predicts mortality in patients undergoing coronary angiography Kidney International (2001) 60, 1490–1497 ;精选ppt;Clinical Criteria for Revascularization;Medical Therapy ;肾动脉支架置入 ;meta-analysis data demonstrating superiority of renal artery stent compared with balloon angioplasty for procedure success and restenosis rates;术前准备;Endovascular Treatment of Renal Artery Stenoses;;.014 Stabilizer + 6F Brite Tip Sheath 55cm;Endovascular Treatment of Renal Artery Stenoses;Tempo 4F MP + .014 Stabilizer;Renal Artery Stenting;Case report -1;精选ppt; GFR 左（min/l） 右（ min/l ） 术前 24.0 20.4 术后（第3天) 21.3 34.6 ;术后随访;ARVD – Randomized Studies PTRA vs Medication;肾动脉支架的临床结果;ASTRAL Angioplasty and STent for Renal Artery Lesions UK MULTI-CENTRE TRIAL INATHEROSCLEROTIC RENOVASCULAR DISEASE;ASTRAL Trial: Design;Primary and secondary end points in ASTRAL; Stent Med Rx