surgoncoКреативная хирургия и онкологияCreative surgery and oncology2076-30932307-0501Башкирский государственный медицинский университет10.24060/2076-3093-2021-11-3-235-243surgonco-605Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSСтеноз почечных артерий. Диагностика и тактика лечения пациентов (обзор литературы)Renal Artery Stenosis, Diagnosis and Management: a Literature Reviewhttps://orcid.org/0000-0003-4787-3581ИдрисовИ. А.IdrisovI. A.

Идрисов Ильяс Альбертович – отделение рентгенхирургических методов диагностики и лечения № 2

Республика Башкортостан, Уфа

Ilyas A. Idrisov – Interventional Radiology Unit No. 2

Ufa

idrisov-i-a@yandex.ruhttps://orcid.org/0000-0002-3293-4452ХафизовТ. Н.KhafizovT. N.

Хафизов Тимур Назирович – к.м.н., отделение рентгенхирургических методов диагностики и лечения № 2

Республика Башкортостан, Уфа

Timur N. Khafizov – Cand. Sci. (Med.), Interventional Radiology Unit No. 2

Ufa

https://orcid.org/0000-0003-4345-1234ХафизовР. Р.KhafizovR. R.

Хафизов Радик Рашитович – отделение рентгенхирургических методов диагностики и лечения № 2

Республика Башкортостан, Уфа

Radik R. Khafizov – Interventional Radiology Unit No. 2

Ufa

ШаймуратовИ. Х.ShaymuratovI. Kh.

Шаймуратов Ильшат Хасаньянович – отделение рентгенхирургических методов диагностики и лечения № 2

Республика Башкортостан, Уфа

Ilshat Kh. Shaymuratov – Interventional Radiology Unit No. 2

Ufa

https://orcid.org/0000-0003-2163-6326АбхаликоваЕ. Е.AbhalikovaE. E.

Абхаликова Елена Евгеньевна – отделение рентгенхирургических методов диагностики и лечения № 2

Республика Башкортостан, Уфа

Elena E. Abhalikova – Interventional Radiology Unit No. 2

Ufa

https://orcid.org/0000-0002-2763-0446ИдрисоваЛ. Р.IdrisovaL. R.

Идрисова Лилия Руслановна – поликлиническое отделение

Республика Башкортостан, Уфа

Liliya R. Idrisova – Outpatient Unit

Ufa

Республиканский кардиологический центрРоссияRepublican Cardiology CentreRussian FederationГородская клиническая больница № 21РоссияCity Clinical Hospital No. 21Russian Federation202101102021113235243Copyright © Идрисов И.А., Хафизов Т.Н., Хафизов Р.Р., Шаймуратов И.Х., Абхаликова Е.Е., Идрисова Л.Р., 20212021Идрисов И.А., Хафизов Т.Н., Хафизов Р.Р., Шаймуратов И.Х., Абхаликова Е.Е., Идрисова Л.Р.Idrisov I.A., Khafizov T.N., Khafizov R.R., Shaymuratov I.K., Abhalikova E.E., Idrisova L.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgonco.ru/jour/article/view/605

Атеросклероз периферических артерий и, в частности, почечных — довольно широко распространенная патология. Этиология, патогенез не вызывают затруднений и давно уже выяснены. Тем не менее до сих пор нет единого систематизированного подхода в тактике ведения данных пациентов. Проведен обзор и анализ классической академической литературы, а также баз научных статей (Cohrane, PubMed, Google Academy) по данной проблематике. Авторами статьи использовался собственный практический опыт наблюдения и лечения пациентов со стенотическими поражениями периферических артерий. На сегодня наиболее доступным и экономически оправданным скрининговым методом является ультразвуковое дуплексное сканирование (УЗДС) почечных артерий. В числе неинвазивных методов в арсенале врача имеются также магнитно-резонансная (МРТ) и спиральная компьютерная томографии (МСКТ) с контрастированием. «Золотым стандартом» определения показаний для оперативного лечения остается субтракционная ангиография. Возможности внутрисосудистых способов диагностики также растут. В арсенале интервенционного специалиста есть определение фракционного резерва кровотока (ФРК), внутрисосудистое ультразвуковое исследование (ВСУЗИ), оптическая когерентная томография (ОКТ).Проблема ведения пациентов с сужением просвета почечных артерий остается по-прежнему актуальной и требует дальнейшего изучения. Необходимо продолжать накапливать, систематизировать опыт диагностики и лечения больных со стенозами периферических артерий.В современной практике прослеживается зависимость от высокотехнологичных методов выявления и лечения сужений периферических артерий. Качество ведения больных напрямую связано с техническим оснащением, финансовыми возможностями клиники, компетенцией специалистов и владением актуальными методиками.

Peripheral arterial atherosclerosis, i.a., in renal arteries, is quite a regular pathology. Despite long clear aetiology and pathogenesis, a unified systemic management approach in such patients is still lacking. We have reviewed and analysed classical academic resources and scientific record databases (Cochrane Library, PubMed and Google Scholar) in the topic and engaged self-experience on the observation and treatment of patients with stenotic peripheral arteries. Ultrasonic duplex scanning (USDS) of renal arteries is the most accessible and cost-effective screening method to date. Among non-invasive techniques are magnetic resonance imaging (MRI) and contrast-enhanced multislice computed tomography (MSCT). Subtraction angiography remains the gold standard for deciding a surgical treatment, and intravascular diagnostic capacities grow as well. Today’s interventional radiology is powered by fractional flow reserve (FFR) measurement, intravascular ultrasound (IVUS) and optical coherence tomography (OCT).The management of patients with narrowed renal arteries remains relevant and requires further insight. A continuing accumulation and synthesis of experience in diagnosis and treatment of peripheral arterial stenosis is imperative. Current medicine relies on high technologies in the discovery and treatment of peripheral arterial stenosis. The quality of patient management directly relates to the hospital technical and financial level, the personnel competence and mastery of current state-of-the-art.

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The authors declare that there are no conflicts of interest present.