Surgical treatment of renovascular disease in the solitary kidney: results in 43 cases.
Renal revascularization was performed on 43 patients with vascular disease involving a solitary kidney. Revascularization was undertaken as treatment for severe hypertension in 35 patients and to preserve renal function in 8. There were 2 operative deaths (4.7 per cent) and 3 major complications (7 per cent). No patient suffered acute renal failure after revascularization. Followup ranges from 6 months to 14 years (mean 6 years). The postoperative serum creatinine is improved in 26 patients (63 per cent), unchanged in 9 (22 per cent) and increased in 6 (15 per cent). Of 35 patients with hypertension the blood pressure is cured in 18 (51 per cent) and improved in 14 (40 per cent); there were 3 (9 per cent) failures. In selected patients with renal artery disease involving a solitary kidney revascularization can provide effective treatment of hypertension and stabilization or improvement of renal function.
D000328:Adult; D000368:Aged; D001161:Arteriosclerosis / Q000150:complications; D003327:Coronary Disease / Q000150:complications; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000150:complications / Q000601:surgery; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery*; D012079:Renal Circulation; D014652:Vascular Diseases / Q000150:complications / Q000601:surgery*