Document Detail

Selection for surgery and long-term results in renovascular hypertension.
MedLine Citation:
PMID:  700939     Owner:  NLM     Status:  MEDLINE    
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.
P Stefanini; F Benedetti-Valentini; P Fiorani
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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    
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MeSH Terms
Aorta, Abdominal / surgery
Blood Vessel Prosthesis
Hypertension, Renal / surgery*
Hypertension, Renovascular / radiography,  surgery*
Renal Artery / radiography,  surgery

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

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