Diagnostik und Therapie der Nierenarterienstenose

Zusammenfassung

Das Spektrum und die Effektivität radiologisch-diagnostischer Verfahren und therapeutischer Ansätze bei renaler Hypertonie erweitert sich in den letzten Jahren ständig, insbesondere durch die technischen Entwicklungen in der Magnetresonanztomographie, in der Mehrzeilen-Computertomographie und der farbkodierten Doppler-Sonographie. Der Artikel beschreibt die aktuellen diagnostischen Möglichkeiten und versucht die Vor- und Nachteile der einzelnen Methoden herauszuarbeiten. Des Weiteren wird auf die differenzierte Therapie mittels perkutaner, transluminaler Angioplastie und Operation eingegangen und erörtert, welche Stenosen behandelt werden sollten und welche Patientengruppen man auch mit guten Erfolgen ohne Intervention medikamentös behandeln kann.

Abstract

The spectrum and effectiveness of radiological diagnostic procedures and therapeutic approaches for renal hypertension have been constantly increasing over the last several years, in particular as a result of the technical developments in magnetic resonance imaging, multislice CT, and color-coded Doppler sonography. This article describes the current diagnostic possibilities and discusses the advantages and disadvantages of individual methods. In addition, treatment via percutaneous transluminal angioplasty and operation, the types of stenosis to be treated, and the patient groups that are able to be treated successfully without intervention are discussed and explained.

Keywords

Radiological diagnostics - Therapy - arterial hypertension

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