Document Detail


Renovascular disease in the elderly: an analysis of 50 patients.
MedLine Citation:
PMID:  3157738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty patients, 65 years of age or older, with renovascular disease were evaluated and treated between 1979 and 1981. Twenty-one patients were treated medically, 21 surgically and 8 with percutaneous transluminal angioplasty of the renal arteries. The age, sex, target organ involvement, initial blood pressure and serum creatinine were similar among the three groups. Sixty-six percent of the medical group demonstrated lower blood pressure. Ninety percent of the surgical group demonstrated a cure or improved blood pressure, and 43% of the patients with percutaneous transluminal angioplasty had improved blood pressure. Renal function deteriorated in 50% of the medical group, 19% of the surgical group and 25% of patients in the percutaneous transluminal angioplasty group. There was one operative death in the surgical group and one death related to percutaneous transluminal angioplasty. The data demonstrate that old age itself is not a contraindication to surgery. If hypertension is resistant to medical therapy, if the patient experiences undesirable side effects from the medications or if renal function is jeopardized, surgical therapy should be considered. More experience with percutaneous transluminal angioplasty is necessary to determine its precise role in managing atherosclerotic renal vascular disease in the elderly.
Authors:
J W Olin; D G Vidt; R W Gifford; A C Novick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  5     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1985 May 
Date Detail:
Created Date:  1985-05-29     Completed Date:  1985-05-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1232-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon
Blood Pressure
Creatine / blood
Female
Glomerular Filtration Rate
Humans
Hypertension, Renovascular / mortality,  physiopathology,  surgery,  therapy*
Kidney / physiopathology
Male
Nephrectomy
Chemical
Reg. No./Substance:
57-00-1/Creatine

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


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