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Khirurgii
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Year 2007 Vol. 15 No 4

MODERN DIAGNOSTICS AND THERAPY

ZENKOV A.A., KUTKO A.P., MIKHNEVICH A.V., MYSHLENOK D.F., CHUESHOV V.A., PUSHKOV I.E., LOYKO N.G., VYKHRISTENKO K.S.

ROENTGENENDOVASCULAR INTERVENTIONS IN VASORENAL ARTERIAL HYPERTENSION TREATMENT IN PATIENTS WITH COMBINED LESIONS OF OTHER ARTERIAL BASINS

10 patients with the basal renal arteries lesions were being performed endovascular reconstructions from February 2006 till September 2007 at the thoracic and vascular surgery department of Vitebsk regional clinical hospital. All patients were suffering from vasorenal arterial hypertension. Indication to endovascular reconstruction of the renal arteries was hemodynamically significant stenosis presence (more than 70%). Firstly, renal arteries stenting was performed in the patients with the combined lesions of several arterial basins. Then, the reconstruction of the aortic arch branches, abdominal aorta, and lower limbs arteries was performed simultaneously by two teams of the surgeons.
Decrease in systolic and diastolic pressure (but mainly in systolic) occurred after renal arteries stenting. As the result of the applied treatment, all patients noted either significant reduction in antihypertensive preparations dosage or their total abolition. Renal arteries stenting is rather an effective method of vasorenal hypertension treatment. Insufficient data require further study of the given problem. Strict maintenance of succession of various arterial segments revascularization is obligatory in the patients with multi- focal atherosclerosis. It is expedient to perform simultaneous vascular reconstructions in case of combined lesions of several basins.

Keywords: vasorenal hypertension, roentgenendovascular reconstructions, multi- focal atherosclerosis, combined lesions of several arterial basins, vasorenal hypertension treatmen, renal arteries stenting.
p. 86 - 95 of the original issue
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