关键词: Dénervation rénale Hypertension résistante Renal denervation Resistant hypertension Trans-radial access Voie d’abord radiale

Mesh : Aged Antihypertensive Agents / therapeutic use Catheter Ablation / methods Drug Resistance Humans Hypertension / surgery Male Middle Aged Renal Artery / innervation Sympathectomy / methods

来  源:   DOI:10.1016/j.ancard.2014.09.030   PDF(Sci-hub)

Abstract:
Renal denervation which consists in the ablation of the sympathetic fibers located in the adventitia of renal arteries is a therapeutic strategy allowing improved arterial hypertension control in patients who do not respond to medical treatment. This technique is currently performed using the femoral approach in the majority of cases. The diameter and the length of the ablation catheters limit their use via the radial route. The most frequent peri-procedural complications are vascular problems. We report here two cases of renal denervation via the trans-humeral and trans-radial routes respectively.
摘要:
包括消融位于肾动脉外膜中的交感神经纤维的肾脏去神经是一种治疗策略,可以改善对药物治疗无反应的患者的动脉高血压控制。该技术目前在大多数情况下使用股骨入路进行。消融导管的直径和长度限制了它们经由径向路径的使用。最常见的围手术期并发症是血管问题。我们在此报告了两例分别通过经肱骨和经radial路的肾脏去神经支配。
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