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DOI: 10.1055/s-2006-925020
Diagnostik und Therapie der Nierenarterienstenose
Diagnosing and Treating Renal Artery StenosisPublication History
Publication Date:
02 March 2006 (online)
![](https://www.thieme-connect.de/media/rad-u2d/200601/lookinside/thumbnails/10.1055-s-2006-925020-1.jpg)
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