中国实用内科杂志2024,Vol.44Issue(8):645-648,4.DOI:10.19538/j.nk2024080108
肾动脉消融治疗高血压
Renal denervation for hypertension:anatomical and physiologic basis for selective ablation
刘航 1孙英贤 2殷跃辉1
作者信息
- 1. 重庆医科大学附属第二医院心血管内科,重庆 400010
- 2. 中国医科大学附属第一医院心血管内科,辽宁 沈阳 100001
- 折叠
摘要
Abstract
Percutaneous renal denervation(RDN)can effectively lower blood pressure in a sustainable manner.Its clinical evidence is solid,but there are still problems such unstable effect of blood pressure reduction.In recent years,our comprehension of the neural regulation and physiological functions of the kidney has been progressively deepening,particularly,the existence of the renal parasympathetic nerve has been confirmed.The renal parasympathetic nerve exerts opposing functions on the sympathetic nerve,and the ablation-induced impairment of the renal parasympathetic nerve may contribute significantly to the unsatisfactory efficacy observed in current RDN procedures.Selective ablation guided by renal nerve stimulation holds great promise as a future development direction for RDN technology.关键词
经皮去肾神经术/肾脏副交感神经/肾神经刺激/选择性消融Key words
percutaneous renal denervation/renal parasympathetic nerve/renal nerve stimulation/selective ablation分类
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刘航,孙英贤,殷跃辉..肾动脉消融治疗高血压[J].中国实用内科杂志,2024,44(8):645-648,4.