Document Detail

Use of the hepatic arterial circulation for renal revascularisation.
MedLine Citation:
PMID:  1416679     Owner:  NLM     Status:  MEDLINE    
Renal artery stenosis is increasingly being diagnosed as a cause of hypertension and renal impairment. Surgical intervention can restore function and improve hypertension in selected cases. Over a 42 month period, 12 patients with atherosclerotic renovascular disease underwent surgical revascularisation using the hepatic arterial circulation. All had disease of both renal arteries and 11 had some degree of renal impairment, with five requiring dialysis before operation. There were two deaths within 30 days of operation, eight patients had improved renal function after operation and three of the patients previously on dialysis became dialysis free. The hepatorenal method of renal revascularisation is described and its advantages discussed.
G P Stansby; J E Scoble; G Hamilton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  74     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-10-27     Completed Date:  1992-10-27     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  260-4     Citation Subset:  IM    
University Department of Surgery, Royal Free Hospital and School of Medicine, London.
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MeSH Terms
Anastomosis, Surgical / methods
Angiography, Digital Subtraction
Arteriosclerosis / surgery*
Hepatic Artery / surgery*
Kidney / physiopathology
Middle Aged
Postoperative Complications / mortality
Renal Artery / radiography,  surgery*
Renal Artery Obstruction / radiography,  surgery*

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