title: [Cause of failure in the surgery of renovascular hypertension].
abstract: The experience of 193 operations on 172 patients with affected renal arteries is described. The causes of failure in the surgery are analyzed. Organ-preserving operations with reconstruction of 189 renal arteries were performed on 136 patients. Primary nephrectomies were performed on 36 patients. During recent 3 years nephrectomies were made in 8% of 70 operations. Postoperative mortality was about 7%, mainly due to atherosclerotic patients. The main causes of uneffective operations are as follows: technical errors in revascularization of the kidney, pyelonephritis and neuroangiosclerosis non-diagnosed preoperatively, progressing lesions of the vessels in atherosclerosis and panarteritis.
mesh_terms: D000293:Adolescent; D000328:Adult; D001161:Arteriosclerosis / Q000209:etiology; D002648:Child; D006801:Humans; D006977:Hypertension, Renal / Q000601:surgery*; D006978:Hypertension, Renovascular / Q000601:surgery*; D008875:Middle Aged; D009392:Nephrectomy; D010488:Polyarteritis Nodosa / Q000209:etiology; D011183:Postoperative Complications; D011704:Pyelonephritis / Q000209:etiology; D012077:Renal Artery / Q000601:surgery
vernacular_title: Prichiny neudach v khirurgii renovaskuliarnoĭ gipertonii.