Document Detail

Use of the thoracic aorta for renal arterial reconstruction.
MedLine Citation:
PMID:  8164274     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Thoracic aortorenal bypass is a new technique for surgical renal revascularization in patients with severe atherosclerosis of the abdominal aorta. In such cases, the thoracic aorta is often free of disease.
METHODS: From 1989 to 1992, thoracic aortorenal bypass was performed in 23 patients with hypertension, abdominal aortic atherosclerosis, and celiac artery stenosis; in 21 patients, renal artery stenosis was present bilaterally or in a solitary kidney.
RESULTS: There was one operative death. Among the remaining 22 patients, hypertension was cured or improved after operation in 19 (86%), and renal function was improved or stable in 21 (95%).
CONCLUSIONS: Thoracic aortorenal bypass has several advantages and is a useful alternative to abdominal aortic replacement in selected older patients who require renal arterial reconstruction.
A C Novick; R Stewart; E E Hodge; D Goldfarb
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  19     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-05-20     Completed Date:  1994-05-20     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  605-9     Citation Subset:  IM    
Department of Urology, Cleveland Clinic Foundation, OH 44195.
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MeSH Terms
Aorta, Abdominal / pathology
Aorta, Thoracic / surgery*
Arteriosclerosis / pathology,  surgery*
Celiac Artery / pathology
Hypertension, Renovascular / prevention & control
Middle Aged
Renal Artery / pathology,  surgery*
Renal Artery Obstruction / surgery*
Saphenous Vein / transplantation*

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

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