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裸支架“烟囱”技术治疗移植肾动脉端侧吻合口分叉型狭窄一例

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摘要 患者男,55岁。因慢性肾功能衰竭尿毒症于2010年9月13日在我院行同种异体肾移植手术,术式选择供肾动脉一右髂外动脉端侧吻合术。术后每6个月复查1次血压、血清肌酐(Scr)及移植肾动脉彩色超声。2012年3月复查Scr为154μmol/L,血压156/101mmHg(1mmHg=0.133kPa)。体检有下腹闻及收缩期血管杂音。行内科保守治疗2周后复查Scr163μmol/L,彩色超声检查:移植肾动脉吻合口处血流速度偏高(最大流速439cm/s),阻力指数偏高(阻力指数0.81),提示移植肾动脉狭窄。遂行右侧肾动脉造影及支架成形术。
出处 《中华放射学杂志》 CAS CSCD 北大核心 2013年第5期474-475,共2页 Chinese Journal of Radiology
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