Atherosclerotic renal artery stenosis in the post-CORAL era part 1: the renal penumbra concept and next-generation functional diagnostic imaging

被引：9

作者：

Sag, Alan Alper ^{[1
]}

Inal, Ibrahim ^{[2
]}

Okcuoglu, John ^{[2
]}

Rossignol, Patrick ^{[3
,4
,5
,6
]}

Ortiz, Alberto ^{[7
,8
,9
]}

Afsar, Baris ^{[10
]}

Sos, Thomas A. ^{[11
]}

Kanbay, Mehmet ^{[12
]}

机构：

[1] Koc Univ, Sch Med, Dept Radiol, Div Intervent Radiol, TR-34450 Istanbul, Turkey

[2] Koc Univ, Sch Med, TR-34450 Istanbul, Turkey

[3] INSERM, Ctr Invest Clin Plurithemat 1433, U1116, Nancy, France

[4] CHU Nancy, Nancy, France

[5] Univ Lorraine, Nancy, France

[6] F CRININI CRCT Network, Nancy, France

[7] Univ Autonoma Madrid, Sch Med, FJD, IIS, Madrid, Spain

[8] Fdn Renal Inigo Alvarez de Toledo, IRSIN, Madrid, Spain

[9] REDINREN, Madrid, Spain

[10] Konya Numune State Hosp, Dept Nephrol, Konya, Turkey

[11] New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Radiol, Div Intervent Radiol, New York, NY USA

[12] Koc Univ, Sch Med, Dept Med, Div Nephrol, TR-34450 Istanbul, Turkey

来源：

JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION | 2016年 / 10卷 / 04期

关键词：

Atherosclerosis; cardiovascular diseases; radiology; renovascular hypertension; DEPENDENT BOLD MRI; MAGNETIC-RESONANCE; STENT REVASCULARIZATION; CARDIOVASCULAR OUTCOMES; INTRARENAL OXYGENATION; RENOVASCULAR DISEASE; KIDNEY; MECHANISMS; FIBROSIS; HYPOXIA;

D O I：

10.1016/j.jash.2016.02.009

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

After three neutral trials in which renal artery stenting failed to improve renal function or reduce cardiovascular and renal events, the controversy surrounding diagnosis and treatment of atherosclerotic renal artery stenosis and renovascular hypertension has led to paradigm shifts in the diagnostic algorithm. Noninvasive determination of earlier events (cortex hypoxia and renal artery hemodynamic changes) will supersede late sequelae (calcific stenosis, renal cortical thinning) Therefore, this review proposes the concept of renal penumbra in defining at-risk ischemic renal parenchyma. The complex field of functional renal magnetic resonance imaging will be reviewed succinctly in a clinician-directed fashion. (C) 2016 American Society of Hypertension. All rights reserved.

引用

页码：360 / 367

页数：8

共 47 条

[1]

Amercian College of Radiology, ACR APPR CRIT REN HY

[2] Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function A Randomized Trial [J].

Bax, Liesbeth ;

Woittiez, Arend-Jan J. ;

Kouwenberg, Hans J. ;

Mali, Willem P. T. M. ;

Buskens, Erik ;

Beek, Frederik J. A. ;

Braam, Branko ;

Huysmans, Frans T. M. ;

Kool, Leo J. Schultze ;

Rutten, Matthieu J. C. M. ;

Doorenbos, Cornelius J. ;

Aarts, Johannes C. N. M. ;

Rabelink, Ton J. ;

Plouin, Pierre-Francois ;

Raynaud, Alain ;

van Montfrans, Gert A. ;

Reekers, Jim A. ;

van den Meiracker, Anton H. ;

Pattynama, Peter M. T. ;

van de Ven, Peter J. G. ;

Vroegindeweij, Dammis ;

Kroon, Abraham A. ;

de Haan, Michiel W. ;

Postma, Cornelis T. ;

Beutler, Jaap J. .

ANNALS OF INTERNAL MEDICINE, 2009, 150 (12) :840-U41

[3] MECHANISMS OF DISEASE - HYPOXIA OF THE RENAL MEDULLA - ITS IMPLICATIONS FOR DISEASE [J].

BREZIS, M ;

ROSEN, S .

NEW ENGLAND JOURNAL OF MEDICINE, 1995, 332 (10) :647-655

[4] Diffusion-weighted magnetic resonance imaging in the evaluation of renal function: a preliminary study [J].

Carbone, S. F. ;

Gaggioli, E. ;

Ricci, V. ;

Mazzei, F. ;

Mazzei, M. A. ;

Volterrani, L. .

RADIOLOGIA MEDICA, 2007, 112 (08) :1201-1210

[5] MR-derived renal morphology and renal function in patients with atherosclerotic renovascular disease [J].

Cheung, CM ;

Shurrab, AE ;

Buckley, DL ;

Hegarty, J ;

Middleton, RJ ;

Mamtora, H ;

Kalra, PA .

KIDNEY INTERNATIONAL, 2006, 69 (04) :715-722

[6] Stenting and Medical Therapy for Atherosclerotic Renal-Artery Stenosis [J].

Cooper, Christopher J. ;

Murphy, Timothy P. ;

Cutlip, Donald E. ;

Jamerson, Kenneth ;

Henrich, William ;

Reid, Diane M. ;

Cohen, David J. ;

Matsumoto, Alan H. ;

Steffes, Michael ;

Jaff, Michael R. ;

Prince, Martin R. ;

Lewis, Eldrin F. ;

Tuttle, Katherine R. ;

Shapiro, Joseph I. ;

Rundback, John H. ;

Massaro, Joseph M. ;

D'Agostino, Ralph B. ;

Dworkin, Lance D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (01) :13-22

[7] Four-year follow-up of Palmaz-Schatz stent revascularization as treatment for atherosclerotic renal artery stenosis [J].

Dorros, G ;

Jaff, M ;

Mathiak, L ;

Dorros, II ;

Lowe, A ;

Murphy, K ;

He, T .

CIRCULATION, 1998, 98 (07) :642-647

[8] Renal-Artery Stenosis. [J].

Dworkin, Lance D. ;

Cooper, Christopher J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (20) :1972-1978

[9] RENOVASCULAR HYPERTENSION IDENTIFIED BY CAPTOPRIL-INDUCED CHANGES IN THE RENOGRAM [J].

GEYSKES, GG ;

OEI, HY ;

PUYLAERT, CBAJ ;

MEES, EJD .

HYPERTENSION, 1987, 9 (05) :451-458

[10] Blood oxygen level-dependent (BOLD) MRI analysis in atherosclerotic renal artery stenosis [J].

Gloviczki, Monika L. ;

Saad, Ahmed ;

Textor, Stephen C. .

CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 2013, 22 (05) :519-524

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