副肾动脉与高血压相关性的临床研究进展

蔡东升; 沈珈谊; 韦铁民

doi:10.13201/j.issn.1001-1439.2019.12.020

副肾动脉与高血压相关性的临床研究进展

- 1 浙江大学医学院(杭州, 310029);
- 2 浙江大学丽水医院心内科
基金项目:
浙江省基础公益研究计划(No:LGF19H020008)

丽水市公益性技术应用研究计划(No:2019GYX05)

详细信息

通讯作者: 韦铁民,E-mail:lswtm@sina.com

中图分类号: R544.1

收稿日期: 2019-04-08

Update of research progress on the correlation between accessory renal artery and hypertension

- 1 Zhejiang University School of Medicine, Hangzhou, 310029, China;
- 2 Department of Cardiology, Lishui Hospital of Zhejiang University

More Information

Corresponding author: WEI Tiemin, E-mail: lswtm@sina.com

Received Date: 08 April 2019

摘要

摘要: 副肾动脉作为最常见也是最重要的肾动脉变异在肾移植和肾血管介入治疗中有着极高的临床价值。既往有关肾动脉变异的研究主要来源于尸体解剖,研究的目的也局限于肾移植、肾肿瘤切除等手术,近年来影像学技术的快速发展使得对于副肾动脉的研究在高血压的诊断和治疗中得以开展。但是副肾动脉的存在是否是高血压的病因之一仍然存在争议。现就副肾动脉的定义、检测手段、发生率和副肾动脉与高血压最新的临床研究进展作一简要综述。
- 高血压 /
- 副肾动脉 /
- 研究进展
Abstract: The accessory renal artery(ARA),as the most common and important variant of renal artery,has high clinical value in renal transplantation and renal vascular interventional therapy.Previous studies of renal artery variation mainly came from autopsy.The aim of those studies were limited to renal transplantation and renal tumor resection.In recent years,the rapid development of imaging technology makes for the study of ARA to be carried out in the diagnosis and treatment of hypertension.However,whether the presence of ARA is one of the causes of hypertension remains controversial.This article reviews the causes,detection methods and incidence of ARA and its correlation with hypertension.
- hypertension /
- accessory renal artery /
- research progress

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参考文献(27)

[1]	Jamkar AA,Khan B,Joshi DS.Anatomical study of renal and accessory renal arteries[J].Saudi J Kidney Dis Transplant,2017,28(2):292-297.
[2]	韩华,韩佳栩,项燕,等.副肾动脉的解剖学特征及其对肾移植的价值[J].局解手术学杂志,2018,27(9):678-683.
[3]	Id D,kaltenbach B,Bertog SC,et al.Does the presence of accessory renal arteries affect the efficacy of renal denervation?[J].JACC Cardiovasc Interv,2013,6(10):1085-1091.
[4]	Lauder L,Ewen S,Tzafriri AR,et al.Renal artery anatomy assessed by quantitative analysis of selective renal angiography in 1,000 patients with hypertension[J].EuroIntervention,2018,14(1):121-128.
[5]	Marshall AG.Aberrant renal arteries and hypertension[J].Lancet,1951,2(6686):701-705.
[6]	张合意.MSCTA与DSA对动脉粥样硬化性肾动脉狭窄的临床应用[J].湖北名族学院学报(医学版),2017,34(4):36-38.
[7]	陶舒敏,宁辉,陈惠娟,等.MSCT 在活体肾移植术前评估中的应用[J].放射学实践,2015,30(5):509-512.
[8]	Cira K,Demirats H,Durmaz MS.Evaluation of renal arteries of 286 living donors by multidetector computed tomography angiography:a single-center study [J].Exp Clin Transplant,2015,13(6):581-587.
[9]	Flors L,Leiva-Salinas C,Ahmad EA,et al.MD CT angiography and MR angiography of nonatherosclerotic renal artery disease[J].Cardiovasc Intervent Radiol,2011,34(6):1151-1164.
[10]	李鹏,石健,邵玉红,等.超声评价副肾动脉及其临床意义[J].中国医学影像技术,2014,30(12):1884-1887.
[11]	王志辉,杨好意.彩色多普勒超声在评估移植肾血管解剖及并发症方面的应用[J].华中科技大学学报(医学版),2015,44(3):349-352.
[12]	马娜.超声造影评价副肾动脉的应用价值[A].中国超声医学工程学会第十四届全国超声心动图学术会议论文汇编,2018:2.
[13]	Gulas E,Wysiadecki G,Cecot T,et al.Accessory(multiple) renal arteries-differences in frequency according to population,visualizing techniques and stage of morphological development[J].Vascular,2016,24(5):531-537.
[14]	Palmieri BJ,Petroianu A,Silva LC,et al.Study of arterial pattern of 200 renal pedicle through angiotomography[J].Rev Col Bras Cir,2011,38(2):116-121.
[15]	鲁继东,王宣传,戴正寿,等.国内成人副肾动脉的解剖学特征[J].中国临床医学,2013,20(4):512-514.
[16]	邵亚军,田宏哲,薛红强,等.CTA在副肾动脉诊断中的应用价值[J].实用放射学杂志,2017,33(5):765-768.
[17]	牛建栋,郭玉林,尚志荣,等.副肾动脉直径与肾血管性高血压的相关性[J].中国医学影像技术,2015,31(2):240-242.
[18]	VonAchen P,Hamann J,Houghland T,et al.Accessory renal arteries:Prevalence in resistant hypertension and an important role in nonresponse to radiofrequency renal denervation[J].Cardiovasc Revasc Med,2016,17(7):470-473.
[19]	Saba L,Sanfilippo R,Montisci R,et al.Accessory renal artery stenosis and hypertension:are these correlated?Evaluation using multidetector-row computed tomographic angiography[J].Acta Radiol,2008,49(3):278-284.
[20]	Schmid A,Diting T,Sobotka PA,et al.Does renal artery supply indicate treatment suces of renal denervation?[J].Cardiovasc Intervent Radiol,2013,36(4):987-991.
[21]	陈纯.副肾动脉对原发性高血压患者的影响[D].上海交通大学,2015.
[22]	徐小玲,麻少辉,李国良,等.利用CTA初步探讨副肾动脉与原发性高血压的关系及其机制[J].实用放射学杂志,2017,33(12):1921-1924.
[23]	Kandzari DE,Bhatt DL,Sobotka PA,et al.Catheter-based renal denervation for resistant hypertension:rationale and design of the SYMPLICITY HTN-3 Trial[J].Clin Cardiol,2012,35(9):528-535.
[24]	Taghizadeh Afshari A,Mohammadi Fallah MR,Alizadeh M,et al.Outcome of kidney transplantation from living donors with multiple renal arteries versus single renal artery[J].Iran J Kidney Dis,2016,10(2):85-90.
[25]	Shakeri AB,Tubbs RS,Shoja MM,et al.Bipolar supernumerary renal artery[J].Surg Radiol Anat,2007,29(1):89-92.
[26]	Chan PL,Tan FHS.Renin dependent hypertension caused by accessory renal arteries[J].Clin Hypertens,2018,24:15.
[27]	Verloop WL,Vink EE,Spiering W,et al.Renal denervation in multiple renal arteries[J].Eur J Clin Invest,2014,44(8):728-735.