Reconstructive vascular surgery for hypertension in renal vascular dysplasia

28 patients with renovascular hypertension caused by fibromuscular dysplasia involving one or more renal arteries underwent reconstructive surgery. The renal artery stenosis was bilateral in 5 patients. Total artery occlusion occurred in 3 cases. Arteriography was the most useful diagnostic procedur...

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Bibliographic Details
Published inCardiology Vol. 72 Suppl 1; p. 30
Main Authors Torsello, G, Sandmann, W, Szabó, Z, Stolze, T, Grabensee, B
Format Journal Article
LanguageEnglish
Published Switzerland 1985
Subjects
Adolescent
Adult
Arterial Occlusive Diseases - surgery
Blood Pressure
Female
Fibromuscular Dysplasia - diagnostic imaging
Fibromuscular Dysplasia - surgery
Follow-Up Studies
Humans
Hypertension, Renovascular - diagnostic imaging
Hypertension, Renovascular - surgery
Male
Middle Aged
Radiography
Recurrence
Renal Artery - diagnostic imaging
Renal Artery - surgery
Renal Artery Obstruction - diagnostic imaging
Renal Artery Obstruction - surgery
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Summary:28 patients with renovascular hypertension caused by fibromuscular dysplasia involving one or more renal arteries underwent reconstructive surgery. The renal artery stenosis was bilateral in 5 patients. Total artery occlusion occurred in 3 cases. Arteriography was the most useful diagnostic procedure. The operative technique of choice was replacement using saphenous vein or hypogastric artery. All patients survived. On follow-up, 27 patients (96.4%) were either cured or improved. Isotope nephrography suggested restenosis in 1 case. Our results support an aggressive approach to the diagnosis and surgical treatment of renal artery fibromuscular dysplasia causing hypertension.
ISSN:0008-6312
DOI:10.1159/000173941