Zur Problematik rekonstruktiver Operationen an den Nierenarterien im höheren Lebensalter

Jakubowski, H. D.; Montag, Heinrich; Eigler, F. W.

doi:10.1007/978-3-642-67315-3_14

Der Alte Mensch in Der Chirurgie 1979

DOI: 10.1007/978-3-642-67315-3_14

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Zur Problematik rekonstruktiver Operationen an den Nierenarterien im höheren Lebensalter

H. D. Jakubowski¹,

Heinrich Montag²,

F. W. Eigler³

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1981

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“…Even today with well-perfected tests [1,2], it is impossible to predict the cure or improvement of hypertension for individual cases following surgical treatment [3]. Particularly in arteriosclerotic lesions, surgical therapy is still a field of controversial opinions regarding mortality and prognosis of hypertension [4][5][6][7]. However, fibrodysptastic alterations of the renal arteries in general seem to be much more suitable for surgical management [5,[8][9][10], provided that the stenosis is limited to the extraparenchymal artery.…”

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confidence: 99%

Results of surgery in fibrodysplastic renal artery stenosis

1981

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patients underwent operations for renovascular hypertension between September, 1971, and August, 1979. In 75 (37.2%) of the patients (64 female and 11 male, ages 8-55 years), a fibrodysplastic stenosis of one or both renal arteries was found. These patients were treated after angiographic demonstration of a renal artery stenosis, with no further functional testing, e.g., renal vein renin ratio or Saralasin test. Operative procedures included resection of the stenosis and reanastomosis in 45, vein patch angioplasty in 13, vein graft reconstruction in 11, and reimplantation of the renal artery into the aorta in 6 patients. In 5 patients (6.7%) a nephrectomy was necessary because of artery thrombosis. There were no operative deaths. Ninety-six percent of the patients showed a normal or improved blood pressure in the immediate postoperative course. In more than 85% of the patients, reinvestigated 2, 4, and 6 years after the operation, hypertension was cured or improved. We conclude that surgical treatment of renal artery stenosis of fibrodysplastic origin is indicated without further functional tests.

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Results of surgery in fibrodysplastic renal artery stenosis

1981

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Zur Problematik rekonstruktiver Operationen an den Nierenarterien im höheren Lebensalter

Cited by 1 publication

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Results of surgery in fibrodysplastic renal artery stenosis

Results of surgery in fibrodysplastic renal artery stenosis

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