Renovascular occlusive disease. Results of operative treatment

J. H. Foster, M. H. Maxwell, S. S. Franklin, K. H. Bleifer, O. H. Trippel, O. C. Julian, P. T. DeCamp and P. T. Varady

The blood pressure response to operative treatment in 502 patients with renal artery stenosis and coexisting hypertension was as follows: 51% cured, 15% improved, and 34% failure. The operative mortality was 5.9%. Patients with unilateral fibromuscular disease had a favorable blood pressure response (79.8%) more frequently than the patients with unilateral atherosclerosis (63.4%). In patients with bilateral stenosis, a favorable result occurred in 56%. The anatomic failure rate due to thrombosis of arterial reconstructions, as well as the operative mortality, varied considerably between institutions. If preoperative diagnostic studies demonstrated significant functional disparity between kidneys, and if the operation was anatomically successful, then approximately 80% of these patients were benefited by surgical intervention.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Atherosclerotic Renal Arterial Stenosis: Clinical Outcomes of Stent Placement for Hypertension and Renal Failure
Gill and Fowler
Radiology 2003;226:821-826.
ABSTRACT | FULL TEXT  

The Effect of Balloon Angioplasty on Hypertension in Atherosclerotic Renal-Artery Stenosis
van Jaarsveld et al.
NEJM 2000;342:1007-1014.
ABSTRACT | FULL TEXT  

Current Status of Extracoronary Endovascular Procedures
Dalman et al.
PERSPECT VASC SURG ENDOVASC THER 1990;3:1-24.
 

Autoperfusion of Kidney with Pruitt-Inahara Shunt in Renal Vascular Reconstruction A Case Report
Lai et al.
VASC ENDOVASCULAR SURG 1988;22:280-283.
ABSTRACT  

The Long Term Effects of Percutaneous Transluminal Angioplasty for Treating Patients with Renovascular Hypertension: Case Studies
Ohta et al.
ANGIOLOGY 1986;37:535-542.
ABSTRACT