Document Detail


Extracorporeal repair of renal artery branch lesions.
MedLine Citation:
PMID:  2806576     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Complex renal artery lesions which formerly would have been treated by nephrectomy may now be reconstructed by extracorporeal surgery and autotransplantation. Our experience in 15 patients (17 operations) with renal artery lesions extending into its branches or confined to them is described. Two patients underwent separate operations on both sides. The indications for surgery were severe renovascular hypertension (10 cases), renal artery aneurysm, (5 cases) and deteriorating renal function (2 cases). Overall clinical results after a mean follow up of 3 years were considered excellent in 13 procedures (11 patients). Improvement in 2 patients and failure in the other 2, who ultimately underwent nephrectomy. Discussion is focussed on results, vascular indications, (namely aneurysm, stenosis, dissecting aneurysm and trauma) and surgical techniques. Preservation of functioning renal tissue should be the ultimate goal of renovascular surgery where the ex vivo technique, when indicated, will achieve favorable results in most patients.
Authors:
M Haddad; X Barral; C Boissier; X Bouilloc; A M Beraud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular surgery     Volume:  3     ISSN:  0950-821X     ISO Abbreviation:  Eur J Vasc Surg     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1989-12-06     Completed Date:  1989-12-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709440     Medline TA:  Eur J Vasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  435-41     Citation Subset:  IM    
Affiliation:
Department Surgery B, Beilinson Medical Center, Petah-Tikva, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / surgery
Arteries / transplantation
Child
Female
Humans
Hypertension, Renovascular / surgery
Male
Methods
Middle Aged
Postoperative Complications
Renal Artery / surgery*
Saphenous Vein / transplantation
Stomach / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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