title: [Renal revascularization from the digestive arteries in the treatment of renovascular hypertension in high risk patients].
abstract: 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.
authors.affiliation: Service de Chirurgie Vasculaire, C.H.U. de Grenoble, France.
authors.forename: I
authors.initials: I
authors.lastname: Farah
authors.forename: O
authors.initials: O
authors.lastname: Sappey
authors.forename: L
authors.initials: L
authors.lastname: Voirin
authors.forename: B
authors.initials: B
authors.lastname: Janbon
authors.forename: J L
authors.initials: JL
authors.lastname: Magne
authors.forename: B
authors.initials: B
authors.lastname: Maitrasse
authors.forename: H
authors.initials: H
authors.lastname: Guidicelli
mesh_terms: 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
vernacular_title: Revascularisation rénale à partir des artères digestives dans le traitement de l'hypertension réno-vasculaire chez les patients à haut risque.