title: [Problems arising in connection with surgical management of renovascular hypertension (author's transl)].
abstract: 65 consecutive renal artery stenosis reconstructions for the treatment of severe renovascular hypertension are reported. 63% of the cases were males, 37% females. The disease was caused by arteriosclerosis in 66% of cases and in 23% by fibromuscular dysplasia or other pathological changes of the renal artery; the mean age was 47 in the former. and 31 years in the latter group. An aortorenal saphenous vein bypass was performed in 35% cases, a dacron graft was used in 29% and thrombendarteriectomy was carried out in 23% cases. Positive results were achieved in 68.8% of the patients. 63% of the females became normotensive. Operative mortality due to faulty technique was 4.9% initially. The operative mortality has been zero since 1973. nor have there been any therapeutic failures on a technical basis. No significant correlation was established between age of the patients and result of operation.
mesh_terms: D000328:Adult; D001161:Arteriosclerosis / Q000601:surgery; D001794:Blood Pressure; D001807:Blood Vessel Prosthesis; D005260:Female; D005352:Fibromuscular Dysplasia / Q000601:surgery; D006801:Humans; D006977:Hypertension, Renal / Q000601:surgery*; D006978:Hypertension, Renovascular / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000601:surgery*; D012083:Renin / Q000097:blood; D012501:Saphenous Vein / Q000637:transplantation; D013927:Thrombosis / Q000601:surgery
chemical_list: D012083:Renin
vernacular_title: Zur problematik der chirurgischen therapie der renovaskulären Hypertonie.