经皮超选择性肾上腺动脉栓塞术治疗原发性醛固酮增多症所致年轻高血压1例Super-selective adrenal arterial embolization for the treatment of young hypertension caused by primary aldosteronism:a case report
熊洪亮,杨娇,胡伟通,黄佳兵,李运德,董一飞
摘要(Abstract):
无优势功能分泌侧的双侧肾上腺增生患者由于没有外科手术适应证,且药物治疗不良反应大,依从性差,导致这一部分患者血压控制不佳,预后差,因此亟需为这一部分患者寻找新的治疗方法。本文报道了1例采用经皮超选择性肾上腺动脉栓塞术治疗无优势功能分泌侧的双侧肾上腺增生的原发性醛固酮增多症(原醛症)患者,以期为原醛症的治疗提供新的参考。
关键词(KeyWords): 原发性醛固酮增多症;经皮超选择性肾上腺动脉栓塞术
基金项目(Foundation): 国家自然科学基金资助项目(地区基金项目:81960088)
作者(Author): 熊洪亮,杨娇,胡伟通,黄佳兵,李运德,董一飞
参考文献(References):
- [1] Xu Z,Yang J,Hu J,et al. Primary aldosteronism in patients in China with recently detected hypertension[J]. J Am Coll Cardiol,2020,75(16):1913-1922.
- [2] Vaidya A,Brown JM,Carey RM,et al. The unrecognized prevalence of primary aldosteronism[J]. Ann Intern Med,2020,173(8):683.
- [3]祝之明.经导管肾上腺消融术治疗原发性醛固酮增多症相关高血压:现状与展望[J].中国介入心脏病学杂志,2022, 30(7):503-507.
- [4]陈硕,周锐飞,熊洪亮,等.药物联合治疗加超选择性肾上腺动脉栓塞术治疗原发性醛固酮增多症1例分析[J].中国介入心脏病学杂志,2020, 28(3):177-180.
- [5] Inoue H,Nakajo M,Miyazono N,et al. Transcatheter arterial ablation of aldosteronomas with high-concentration ethanol:preliminary and long-term results[J]. AJR Am J Roentgenol,1997,168(5):1241-1245.
- [6] Hokotate H,Inoue H,Baba Y,et al. Aldosteronomas:experience with superselective adrenal arterial embolization in 33cases[J]. Radiology,2003,227(2):401-406.
- [7]董徽,蒋雄京,关婷,等.经皮超选择性肾上腺动脉栓塞治疗原发性醛固酮增多症[J].中华高血压杂志,2013,21(6):536-541.
- [8] Zhang H,Li Q,Liu X,et al. Adrenal artery ablation for primary aldosteronism without apparent aldosteronoma:an efficacy and safety,proof-of-principle trial[J]. J Clin Hypertens(Greenwich),2020,22(9):1618-1626.
- [9] Dong H,Zou Y,He J,et al. Superselective adrenal arterial embolization for idiopathic hyperaldosteronism:12-month results from a proof-of-principle trial[J]. Catheter Cardiovasc Interv,2021,97 Suppl 2:976-981.