Reconstructive vascular surgery for hypertension in renal vascular dysplasia

• Published in: Cardiology Vol. 72 Suppl 1; p. 30
• Main Authors: Torsello, G, Sandmann, W, Szabó, Z, Stolze, T, Grabensee, B
• Format: Journal Article
• Language: English
• 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
• DOI: 10.1159/000173941
• ISSN: 0008-6312

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.