Renal artery stenosis surgery: aorto-renal by-pass.
A variety of operative techniques can be used for renal revascularization. This discussion summarizes my indications, technique and results of direct aorto-renal bypass. I currently use aorto-renal bypass for all distal main renal artery and branch renal artery reconstructions in the treatment of both atherosclerotic and fibromuscular dysplastic lesions. Early technical success occurs in over 97% of cases. Sustained late success without graft stenosis or degeneration for up to 23 years has been documented in over 88% of cases. In my experience, aorto-renal bypass remains the preferred method for renal revascularization in over one-half of all patients.
Dean
R H
RH
Department of General Surgery, Bowman Gray School of Medicine, Wake-Forest University, Winston-Salem, NC 271157.
D000328:Adult; D000714:Anastomosis, Surgical; D001012:Aorta, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation; D008875:Middle Aged; D012077:Renal Artery / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation