Reconstructive vascular surgery for hypertension in renal vascular dysplasia

G. Torsello, W. Sandmann, Z. Szabó, T. Stolze, B. Grabensee

Research output: Contribution to journalArticlepeer-review

Abstract

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 hypeitension.

Original languageEnglish (US)
Pages (from-to)30-32
Number of pages3
JournalCardiology (Switzerland)
Volume72
DOIs
StatePublished - Jan 1 1985
Externally publishedYes

Keywords

  • Fibromuscular dysplasia
  • Renal artery stenosis
  • Renovascular hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)

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