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Radiologie up2date 2006; 6(1): 69-87
DOI: 10.1055/s-2006-925020
Interventionelle Radiologie
© Georg Thieme Verlag KG Stuttgart · New York

Diagnostik und Therapie der Nierenarterienstenose

Diagnosing and Treating Renal Artery StenosisJ.-A.  Koch1 , M.  Hollenbeck2 , G.  Jung3
  • 1Klinik für Diagnostische und Interventionelle Radiologie, Kliniken Essen-Mitte
  • 2Klinik für Nephrologie und Rheumatologie, Knappschaftskrankenhaus Bottrop
  • 3Klinik für Diagnostische und Interventionelle Radiologie, Kliniken der Landeshauptstadt, Düsseldorf-Benrath
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Publication History

Publication Date:
02 March 2006 (online)

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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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Priv.-Doz. Dr. med. Jens-Albrecht Koch

Klinik für Diagnostische und Interventionelle Radiologie · Kliniken Essen-Mitte

Henricistraße 92 · 45136 Essen

Phone: 0201 174-1600

Fax: 0201 174-1601

Email: j.a.koch@kliniken-essen-mitte.de

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