[Renal revascularization from the digestive arteries in the treatment of renovascular hypertension in high risk patients].
Five extra-anatomic hepatospleno- and gastroduodenorenal revascularizations were performed in 5 high-risk cardiac patients. The procedure followed failure of endoluminal angioplasy for osteal stenosis of the renal artery in 4 cases. All patients had a diffuse lesion of the aorta contraindicating direct aortorenal bypass. The indication for surgery was renovascular hypertension poorly-controlled with medical therapy in all 5 patients; 4 patients also had renal failure. There was no mortality in the perioperative period. Blood pressure returned to normal in 50% of the cases, and improved in the other 50%. There was a clear improvement in renal function in all patients.
Farah
I
I
Service de Chirurgie Vasculaire, C.H.U. de Grenoble, France.
Sappey
O
O
Voirin
L
L
Janbon
B
B
Magne
J L
JL
Maitrasse
B
B
Guidicelli
H
H
D000368:Aged; D001158:Arteries; D004064:Digestive System / Q000098:blood supply; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012079:Renal Circulation; D012307:Risk Factors
Revascularisation rénale à partir des artères digestives dans le traitement de l'hypertension réno-vasculaire chez les patients à haut risque.