| Renovascular reconstruction: factors affecting long-term prognosis in 919 patients followed up to 31 years. | |
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MedLine Citation:
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PMID: 2705379 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During the 31-year period from May 3, 1955, to May 12, 1986, renovascular reconstructions were performed on 919 patients. The mean age of the 529 men was 54 +/- 0.58 (SE) years and, of the 390 women, 48 +/- 0.7 years. Mean preoperative diastolic blood pressure was 110 +/- 0.6 mm Hg. The most common causes of renal artery stenosis were atherosclerosis in 647 patients, fibromuscular disease in 161 patients, and renal artery aneurysm in 51 patients. In the remaining 60 patients, other causes were present, including kinks and fibrous bands. The most common surgical procedures were Dacron bypass graft (780 arteries) and endarterectomy with or without a patch graft (329 arteries). Four hundred sixty-nine patients had associated operations, the most common of which were abdominal aortic aneurysmectomy in 231 and aortoiliofemoral reconstruction in 141 patients. The perioperative mortality rate was 5.5% (51 of 919 overall); for renal procedures alone, it was 1.7% (8 of 450) and for combined surgical procedures, 9.2% (43 of 469). The overall graft patency rate at a follow-up of 18.8 +/- 1.9 months was 88.6% (381 of 430) and at a second follow-up of 50 +/- 4.3 months, 86.7% (111 of 128). Analysis of long-term blood pressure response and factors affecting late survival indicated that patients with preoperative diastolic pressures of greater than 100 mm Hg and renal artery stenosis of greater than 70% had the best blood pressure responses and that male sex, increasing age, bilateral renal stenosis, and associated vascular operations lowered the survival rate whereas fibromuscular disease enhanced the duration of survival.(ABSTRACT TRUNCATED AT 250 WORDS) |
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Authors:
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G M Lawrie; G C Morris; D H Glaeser; M E DeBakey |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of cardiology Volume: 63 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1989 May |
Date Detail:
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Created Date: 1989-05-24 Completed Date: 1989-05-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1085-92 Citation Subset: AIM; IM |
Affiliation:
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Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas 77030. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Arteriosclerosis / complications Blood Pressure Cause of Death Endarterectomy Female Follow-Up Studies Humans Male Middle Aged Nephrectomy Prognosis Renal Artery Obstruction / etiology, surgery* Sex Factors Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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