MODERN TREATMENT MINIMALLY INVASIVE TECHNOLOGIES RENOVASCULAR HYPERTENSION

Abstract

The purpose of the research was the study of the effectiveness of balloon angioplasty and stenting of renal arteries to improve the microcirculation of the kidneys in patients with renovascular hypertension. During the period from 2010 to 2012 inclusive in the vascular compartment BSMU clinic were examined and treated 32 patients with renal artery stenosis. Inclusion criteria were: presence of verified violations of regional circulation in the kidney, the presence of symptomatic renovascular hypertension. Measures the average systolic and diastolic blood pressure mast. Patients received antihypertensive treatment to endovascular treatment. Treatment with antihypertensive medication was effective only in 9.8 % of cases. Diagnostic angiography of the renal arteries was performed using angiographic complex INNOVA 3131 IQ. After analyzing the data, the question of stenting or balloon angioplasty. After a detailed survey of 32 patients underwent endovascular intervention for renal artery 6 balloon angioplasty and stenting 26. Following the procedure, the hypotensive effect was observed in all cases. Evaluation of the results showed a significant reduction in the maximum rise in systolic blood pressure by 28 %, diastolic - 21 %. After endovascular intervention, the mean systolic blood pressure decreased by 10%, the average diastolic blood pressure - 15 %. Mean arterial pressure decreased by 8 %. In a review of the effectiveness of endovascular procedures with the original length and the degree of hypertension. Thus, roentgenendovascular treatment improves microcirculation in the renal tissue, which leads to the hypotensive effect of a predominantly marked reduction of maximum systolic blood pressure.

Keywords

• renal artery angioplasty
• stenting
• endovascular surgery
• arterial hypertension