Document Detail


Selection for surgery and long-term results in renovascular hypertension.
MedLine Citation:
PMID:  700939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1960 to December 1977, 251 patients with renovascular hypertension (RVH) were observed; 219 were operated upon. Long-term results were assessed in 130 patients. Selection for surgery follows three steps: 1) screening of patients with renal artery disease, which is done by angiography; 2) diagnosis of RVH, which is reached mainly by differential renal function studies and renal vein renin measurements (ancillary methods are intravenous pyelography and sequential scintigraphy; the significance of renin measurements is discussed); and 3) prediction of the results of surgery and choice of technique. An original dynamic test of the authors is employed and reconstruction of the renal artery is the procedure of choice. This is done in the majority of cases by aortorenal bypass grafts using dacron prostheses. Techniques and complications are discussed and comparison with venous autograft is made. Hospital mortality was 3.2%. Overall long-term results were favorable in 78%. Long-term mortality was 6% and occurred mainly in patients who remained hypertensive. Results in atherosclerotic patients are compared with those obtained in fibrous stenoses. Results of renal artery reconstructions were far better than those of nephrectomies and lead us to restrict indications for such a procedure.
Authors:
P Stefanini; F Benedetti-Valentini; P Fiorani
Related Documents :
1223979 - Autologous blood clot embolization into a bleeding renal artery pseudoaneurysm.
8648929 - Computed tomography-derived intrarenal blood flow in renovascular and essential hyperte...
2529249 - Percutaneous transluminal renal angioplasty versus renovascular surgery: statistical, m...
16436819 - Renal artery stenosis: functional assessment with dynamic mr perfusion measurements--fe...
19028119 - Proteomic profiling in early venous stenosis formation in a porcine model of hemodialys...
12612389 - Renal angioplasty under protection of the percusurge guardwire plus system.
9179699 - Kidney-alone transplantation in diabetic patients with end-stage renal disease.
22114209 - Acute renal venous obstruction is more detrimental to the kidney than arterial occlusio...
24690089 - Co-grafting of neural stem cells with olfactory en sheathing cells promotes neuronal re...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  63     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1978 May-Jun
Date Detail:
Created Date:  1978-12-20     Completed Date:  1978-12-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  73-81     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aorta, Abdominal / surgery
Blood Vessel Prosthesis
Humans
Hypertension, Renal / surgery*
Hypertension, Renovascular / radiography,  surgery*
Nephrectomy
Renal Artery / radiography,  surgery

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


Previous Document:  Esophageal reflux after gastrectomy: a hazard after Billroth-I subtotal gastrectomy.
Next Document:  Results of operative treatment of Fraley's syndrome.