[Renal artery reconstruction for renovascular hypertension].
Between 1959 and 1983, 172 patients were treated for hypertension by reconstruction of a renal artery. Reconstruction was preferably performed with autologous material. In a selected group of 29 patients with lesions in the distal renal artery or the hilar branches, an extracorporeal reconstruction with autotransplantation was performed. After a mean follow-up of 8.4 years the hypertension was cured or improved in 82% of the patients. In patients with an arteriosclerotic renal artery stenosis this result was favourably influenced by a short duration of hypertension before the operation. Their life expectancy after the operation was clearly favourably influenced by a beneficial blood pressure response even if arteriosclerotic lesions of coronary arteries, extracranial vessels and/or peripheral vessels were present before the renovascular operation. In selected patients, renal artery reconstruction for treatment of hypertension yields excellent short-term and long-term results, not only with regard to the blood pressure response but also with respect to the patients' life expectancy.
van Bockel
J H
JH
Afd. Heelkunde, Vaat- en Transplantatiechirurgie, Academische Ziekenhuis, Leiden.
van Schilfgaarde
R
R
van Brummelen
P
P
Overbosch
E H
EH
Hermans
J
J
Terpstra
J L
JL
D000328:Adult; D000368:Aged; D001161:Arteriosclerosis / Q000150:complications; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery*
Nierarteriereconstructie wegens renovasculaire hypertensie.