[1]林志勇 邱建星.影像学在肾血管性高血压评估中的进展[J].心血管病学进展,2024,(3):201.[doi:10.16806/j.cnki.issn.1004-3934.2024.03.003]
 LIN Zhiyong,QIU Jianxing.Imaging Assessment of Renovascular Hypertension[J].Advances in Cardiovascular Diseases,2024,(3):201.[doi:10.16806/j.cnki.issn.1004-3934.2024.03.003]
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影像学在肾血管性高血压评估中的进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年3期
页码:
201
栏目:
主题综述
出版日期:
2024-03-25

文章信息/Info

Title:
Imaging Assessment of Renovascular Hypertension
作者:
林志勇 邱建星
(北京大学第一医院医学影像科,北京 100034)
Author(s):
LIN ZhiyongQIU Jianxing
(Department of Radiology,Peking University First Hospital,Beijing 100034China)
关键词:
肾血管性高血压肾动脉狭窄影像学CT血管成像磁共振成像
Keywords:
Renovascular hypertensionRenal artery stenosisImagingComputed tomography angiographyMagnetic resonance imaging
DOI:
10.16806/j.cnki.issn.1004-3934.2024.03.003
摘要:
肾血管性高血压是继发性高血压最常见的原因之一,是指由肾动脉狭窄引起的高血压。绝大多数肾动脉狭窄是由动脉粥样硬化或纤维肌肉发育不良引起。随着影像学检查技术的快速发展,该疾病的早期检出率不断升高。尤其是各种无创性影像学检查技术在肾动脉狭窄的诊疗过程中起到了至关重要的作用,可早期识别肾动脉、肾脏结构及功能的异常,帮助患者实现早期诊断及获得早期充分治疗。现就影像学在肾动脉狭窄评估中的应用进展进行综述。
Abstract:
Renovascular hypertension is one of the most common causes of secondary hypertension,which is caused by renal artery stenosis(RAS). Most RAS is caused by atherosclerosis or fibromuscular dysplasia. With the rapid development of imaging technology,the early detection rate of this disease has been increasing. In particular,various non-invasive imaging techniques play a crucial role in the diagnosis and treatment of RAS,which can early identify abnormalities of renal artery,renal structure and function,and help patients achieve early diagnosis and obtain early adequate treatment. This article reviews the application progress of imaging in the evaluation of RAS

参考文献/References:

[1] Mannemuddhu SS,Ojeda JC,Yadav A. Renovascular hypertension[J]. Prim Care,2020,47(4):631-644.

[2] Aboyans V,Ricco JB,Bartelink MEL,et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases,in collaboration with the European Society for Vascular Surgery(ESVS):Document covering atherosclerotic disease of extracranial carotid and vertebral,mesenteric,renal,upper and lower extremity arteriesEndorsed by:the European Stroke Organization(ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology(ESC) and of the European Society for Vascular Surgery (ESVS)[J]. Eur Heart J,2018,39(9):763-816.

[3] Anderson JL,Halperin JL,Albert N,et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations)[J]. J Am Coll Cardiol,2013,61(14):1555-1570.

[4] Vipparla N,Kichloo A,Albosta MS,et al. Resistant hypertension secondary to severe renal artery stenosis with negative duplex ultrasound:a brief review of different diagnostic modalities[J]. J Investig Med High Impact Case Rep,2020,8:2324709620914793.

[5] Zhang Y,Wang Y,Ma N,et al. Application of simple ultrasound Doppler hemodynamic parameters in the diagnosis of severe renal artery stenosis in routine clinical practice[J]. Quant Imaging Med Surg,2023,13(12):8042-8052.

[6] Cui Y,Zhang Q,Yan J,et al. The value of contrast-enhanced ultrasound versus Doppler ultrasound in grading renal artery stenosis[J]. Biomed Res Int,2020,2020:7145728.

[7] Villegas L,Cahill AM,Meyers K. Pediatric renovascular hypertension:manifestations and management[J]. Indian Pediatr,2020,57(5):443-451.

[8] Ran X,Lin L,Yang M,et al. Contrast-enhanced ultrasound evaluation of renal blood perfusion changes after percutaneous transluminal renal angioplasty and stenting for severe atherosclerotic renal artery stenosis[J]. Ultrasound Med Biol,2020,46(8):1872-1879.

[9] Wang Y,Li Y,Wang S,et al. Role of contrast-enhanced ultrasound in the evaluation of patients with suspected renal arterial stenosis[J]. Front Cardiovasc Med,2022,9:721201.

[10] Wang X,Wang S,Pang Y,et al. Contrast-enhanced ultrasound assessment of renal parenchymal perfusion in patients with atherosclerotic renal artery stenosis to predict renal function improvement after revascularization[J]. Int J Gen Med,2020,13:1713-1721.

[11] Fleury AS,Durand RE,Cahill AM,et al. Validation of computed tomography angiography as a complementary test in the assessment of renal artery stenosis:a comparison with digital subtraction angiography[J]. Pediatr Radiol,2021,51(13):2507-2520.

[12] Orman G,Masand PM,Kukreja KU,et al. Diagnostic sensitivity and specificity of CT angiography for renal artery stenosis in children[J]. Pediatr Radiol,2021,51(3):419-426.

[13] Wang L,Zhu L,Li G,et al. Gadolinium-enhanced magnetic resonance versus computed tomography angiography for renal artery stenosis:a systematic review and meta-analysis[J]. J Formos Med Assoc,2021,120(5):1171-1178.

[14] Lal H,Singh RKR,Yadav P,et al. Non-contrast MR angiography versus contrast enhanced MR angiography for detection of renal artery stenosis:a comparative analysis in 400 renal arteries[J]. Abdom Radiol(NY),2021,46(5):2064-2071.

[15] Albert TE,Akahane M,Parienty I,et al. An international multicenter comparison of time-SLIP unenhanced MR angiography and contrast-enhanced CT angiography for assessing renal artery stenosis:the renal artery contrast-free trial[J]. Am J Roentgenol,2015,204(1):182-188.

[16] Park SY,Kim CK,Kim E,et al. Noncontrast-enhanced magnetic resonance renal angiography using a repetitive artery and venous labelling technique at 3T:comparison with contrast-enhanced magnetic resonance angiography in subjects with normal renal function[J]. Eur Radiol,2015,25(2):533-540.

[17] Gaudiano C,Busato F,Ferramosca E,et al. 3D FIESTA pulse sequence for assessing renal artery stenosis:is it a reliable application in unenhanced magnetic resonance angiography?[J]. Eur Radiol,2014,24(12):3042-3050.

[18] Jiang B,Liu F,Fu H,et al. Advances in imaging techniques to assess kidney fibrosis[J]. Ren Fail,2023,45(1):2171887.

[19] Zhao L,Li G,Meng F,et al. Cortical and medullary oxygenation evaluation of kidneys with renal artery stenosis by BOLD-MRI[J]. PLoS One,2022,17(3):e264630.

[20] Lal H,Singh P,Ponmalai K,et al. Role of blood oxygen level-dependent magnetic resonance imaging in studying renal oxygenation changes in renal artery stenosis[J]. Abdom Radiol(NY),2022,47(3):1112-1123.

[21] Li X,Wang W,Cheng D,et al. Perfusion and oxygenation in allografts with transplant renal artery stenosis:evaluation with functional magnetic resonance imaging[J]. Clin Transplant,2022,36(11):e14806.

[22] Gaudiano C,Clementi V,Corcioni B,et al. Diffusion tensor imaging in renal artery stenosis:a preliminary report[J]. Br J Radiol,2020,93(1115):20200101.

[23] Zhang H,Wang P,Shi D,et al. Capability of intravoxel incoherent motion and diffusion tensor imaging to detect early kidney injury in type 2 diabetes[J]. Eur Radiol,2022,32(5):2988-2997.

[24] Mao W,Zhou J,Zeng M,et al. Chronic kidney disease:pathological and functional evaluation with intravoxel incoherent motion diffusion-weighted imaging[J]. J Magn Reson Imaging,2018,47(5):1251-1259.

[25] Mao W,Ding Y,Ding X,et al. Diffusion kurtosis imaging for the assessment of renal fibrosis of chronic kidney disease:a preliminary study[J]. Magn Reson Imaging,2021,80:113-120.

[26] Golay X,Hendrikse J,Lim TC. Perfusion imaging using arterial spin labeling[J]. Top Magn Reson Imaging,2004,15(1):10-27.

[27] Mannelli L,Maki JH,Osman SF,et al. Noncontrast functional MRI of the kidneys[J]. Curr Urol Rep,2012,13(1):99-107.

[28] Wu W,Su M,Chang C,et al. Renal perfusion 3-T MR imaging:a comparative study of arterial spin labeling and dynamic contrast-enhanced techniques[J]. Radiology,2011,261(3):845-853.

[29] Cox EF,Buchanan CE,Bradley CR,et al. Multiparametric renal magnetic resonance imaging:validation,interventions,and alterations in chronic kidney disease[J]. Front Physiol,2017,8:696.

[30] Wu J,Shi Z,Zhang Y,et al. Native T1 mapping in assessing kidney fibrosis for patients with chronic glomerulonephritis[J]. Front Med,2021,8:772326.

[31] Assadi M,Eftekhari M,Hozhabrosadati M,et al. Comparison of methods for determination of glomerular filtration rate:low and high-dose Tc-99m-DTPA renography,predicted creatinine clearance method,and plasma sample method[J]. Int Urol Nephrol,2008,40(4):1059-1065.

[32] Ul Hassan M,Khan S,Ashraf M,et al. (99m)Tc diethylenetriaminepentacetic acid angiotension-coverting enzyme inhibitor renography as screening test for renovascular hypertension in unilateral small kidney:a prospective study[J]. World J Nucl Med,2022,13(3):159-162.

[33] Ma N,Li Y,Wang S,et al. Dynamic changes of renal cortical blood perfusion before and after percutaneous transluminal renal artery stenting in patients with severe atherosclerotic renal artery stenosis[J]. Chin Med J(Engl),2022,135(13):1570-1577.

[34] 段磊,顾俊鹏,任伟新,等. 99mTc-DAPA肾动态显像对动脉粥样硬化性肾动脉狭窄支架植入术疗效的预测价值[J]. 中华介入放射学电子杂志,2020,8(2):175-179.

[35] Oyama Y,Koiwa S,Maruyama T,et al. Percutaneous transluminal renal artery stenting using digital subtraction angiography with diluted contrast medium in a patient with severe chronic kidney disease[J]. J Cardiol Cases,2022,26(5):317-320.

[36] Hasjim BJ,Fujitani RM,Chen SL,et al. Utilization of carbon dioxide angiography and percutaneous balloon angioplasty for treatment of transplant renal artery stenosis[J]. Ann Vasc Surg,2020,65:10-16.

[37] Kawano M,Suzuki K,Fujimura N,et al. Ultra-low-dose contrast using transluminal renal angioplasty:the ULTRA study[J]. Vasc Endovasc Surg,2023,57(4):324-330.

[38] Augustin AM,Welsch S,Bley TA,et al. Color-coded summation images in the evaluation of renal artery stenosis before and after percutaneous transluminal angioplasty[J]. BMC Med Imaging,2021,21(1):21.

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更新日期/Last Update: 2024-04-26