How is the stenting of the kidney performed, and in what situations is this operation required?

  • How is the stenting of the kidney performed, and in what situations is this operation required?

    One of the most common causes of hypertension is the formation of atherosclerotic plaques in the arteries of the kidney. Such hypertension is called vasorenal and usually plaques are localized at the mouth of the artery of the kidney. Sometimes even with extensive medical treatment it is not possible to normalize the pressure indicators. In such a situation, stenosis of the kidney or stenting of the renal artery is performed in a different way.

    Kidney stenosis is considered the most gentle method of therapy, which does not require the organization of open surgical intervention.

    This is important!

    The procedure is painless under local anesthesia by puncturing the area of ​​the thigh artery. Such manipulations help to restore the diameter of the narrowed artery with the use of special stents and balloon catheters.

    The stent is a cylindrical endoprosthesis cut with a laser from a single tube made of metal. For stenting the artery of the kidney, as a rule, specially manufactured balloon-expandable stents are used.

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    Before the surgery, an X-ray examination of the kidneys is performed with the introduction of a contrast agent with the clarification of the pathology anatomy.

    After the stent was installed at the site of the constriction, a control study - angiography - is performed to confirm the optimal position of the stent. Subsequently, the opening of the stent with high pressure is performed.

    When the incomplete device is disclosed, angioplasty of the stenosed area is organized by means of a catheter. Having a can on the end for maximum effect.

    Stages of operation

    Before performing stenotherapy of the kidney, angiography of the arteries in the organ is performed. The operation is organized by the same access as angiography. After clarifying the location and severity of the lesion, an intervention is performed. A special device is brought to the place of injury, along which a compressed stent enters the affected area according to the principle of the rails.

    Then, when the stent reaches the necessary place in the artery narrowing area, control angiography is performed to confirm the appropriate position. After that, the stent is opened due to the high pressure

    For the organization of endovascular therapy of atherosclerotic damage to the arteries of the kidneys, specially prepared balloon-expandable stents are used.

    This is important!

    After completion of the operation, a tight bandage is applied to the puncture site and the patient is transferred to the intensive observation room for only a few hours, and then he is sent to the usual ward.

    If access is through the artery on the arm, the patient is allowed to get up on the day of the operation.

    When accessing the femoral artery, the patient is allowed to start rising only the next day.

    Indications for the implementation of stenting

    The main indications for the organization of stenting of the renal artery are:

    • Refractory form of arterial hypertension - when a patient with hypertension receives massive drug treatment, which includes four or more preparations of different groups, and the pressure indicators are not normalized. Refractory hypertension is an indication for the implementation of surgical intervention on the renal arteries. Stenting is a Saami sparing method that does not require open intervention.
    • Arterial hypertension in young patients mainly occurs due to atherosclerotic renal damage. Such hypertension is called vasorenal and plaques are mainly localized in the zone of the artery of the artery of the kidney, thus disrupting the flow of blood to the organ.
    • Another indication for the organization of stenting of the arteries of the kidney is the detection of atherosclerotic plaques in it, supplemented by the formation of an organ failure.

    With an increase in pressure, a person should urgently visit a doctor and establish the cause of the impairment in order to start treatment on time and prevent possible complications of the disease.

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