聚焦去肾交感神经术发展的关键——患者选择与精准消融The keypoints of improvement of the renal denervation:patient selection and precise ablation
胡鑫渝,周浩,李丹,殷跃辉
摘要(Abstract):
目前去肾交感神经术面临着术后血压反应异质性较大的挑战,这项挑战既有手术患者选择性不足的因素,又受手术质量的影响。本文通过回顾文献,总结近年来开展去肾交感神经术的候选人群和手术疗效的潜在预测因子,并通过分析解剖位点经验性消融和肾神经功能检测方面的发展历程提出可改善手术精准度的方案,即运用肾动脉三维重建技术联合电刺激肾神经的血压反应来指导消融手术,这为去肾交感神经术的发展提供了新的思路。
关键词(KeyWords): 去肾交感神经术;高血压;电刺激肾神经;三维重建;选择性消融
基金项目(Foundation): 国家自然科学基金面上项目(32071110)
作者(Author): 胡鑫渝,周浩,李丹,殷跃辉
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