[Renovascular hypertension: results of surgical treatment with a three-year follow-up (author's transl)].
Between 1966 and December 1979, 58 patients with renovascular hypertension were surgically treated at our center. Follow-up was a minimum of one year in all patients and in all cases permeability of revascularization was assessed through angiography from one to six months after surgery. The mean follow-up was 39 months. Thirty-eight (65.5%) were male and 20 (34.6%) female. Age of onset was between 3 and 53 years (mean 36.3 years). Etiology was arteriosclerotic in 27 cases and fibrous dysplasia in all its manifestations in another 27, in 2 cases vascular compression due to retroperitoneal fibrosis and renal hypoplasia in the remaining two. In 4 cases lesions were bilateral. The cure rate was 37 patients (63.8%), Improvement in 16 (27.6%), while there was no improvement in 5 (8.6%). Surgical mortality rate was nil. The different techniques used, indications, long and short term complications and different results according to etiology are discussed.
D000293:Adolescent; D000328:Adult; D001161:Arteriosclerosis / Q000150:complications; D002648:Child; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications; D005500:Follow-Up Studies; D006801:Humans; D006977:Hypertension, Renal / Q000601:surgery*; D006978:Hypertension, Renovascular / Q000209:etiology / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged
Hipertensión arterial vasculorrenal: resultados del tratamiento quirúrgico con un seguimiento medio de tres años.