Revascularization of the chronic totally occluded renal artery with restoration of renal function.
Nine patients with non-functioning kidneys and complete renal artery occlusion discovered on arteriographic investigation for hypertension underwent renal artery revascularization with successful restoration of renal blood flow. Of these patients 7 experienced recovery of renal function and 2 showed no evidence of improvement. One patient had a creatinine clearance of 38 cc per minute from the revascularized kidney 2 years postoperatively. Predictive determinants of salvageable renal parenchyma were the histologic evidence of intact viable glomeruli and the angiographic features of a rich perihilar collateral circulation in the presence of a proximal occlusion with a patent distal renal artery.
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D001161:Arteriosclerosis / Q000601:surgery; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D007668:Kidney / Q000098:blood supply*; D007678:Kidney Glomerulus / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D012077:Renal Artery / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery*