关键词: angioplasty angiotensin-converting-enzyme inhibitor proteinuria renal artery disease

Mesh : Aged Angioplasty / adverse effects methods Angiotensin-Converting Enzyme Inhibitors / therapeutic use Humans Male Proteinuria / drug therapy etiology Renal Artery Obstruction / drug therapy surgery Treatment Outcome

来  源:   DOI:10.2169/internalmedicine.2076-18   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Recent large clinical trials failed to show clear benefits of percutaneous transluminal renal angioplasty (PTRA) as compared with medical therapy on patients with renal artery stenosis. It was also reported that proteinuria is an adverse prognostic factor after PTRA, and PTRA is less effective in patients with overt proteinuria. From the renoprotective point of view, to reduce proteinuria after PTRA is an important therapeutic goal in patients with renal artery stenosis with overt proteinuria. We hereby describe two patients successfully treated by combination therapy with PTRA and administration of angiotensin-converting enzyme (ACE) inhibitor for bilateral renal artery disease with overt proteinuria.
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