title: [Angioplasty of renal artery stenoses before surgical treatment of subrenal abdominal aortic lesions].
abstract: OBJECTIVE
  To evaluate the results of the association of a percutaneous transluminal renal angioplasty before a surgical revascularization of the infra-renal aorta.
  
  
  METHODS
  Percutaneous transluminal angioplasty of one (n = 12) or two (n = 2) renal arteries have been performed in 14 patients (11 hypertensive and one with azotemia), 2 to 240 days (mean 54) before infra-renal aortic surgery (aneurysms: 8, occlusive disease: 6).
  
  
  RESULTS
  15 of the 16 dilatations were completely technically successful (residual stenosis less than 20%), with one groin hematoma treated medically. Mean duration of the surgical intervention were 137 minutes (occlusive disease) and 147 minutes (aneurysm). In the post-operative course were noted resolutive infections in two patients, and one death because of myocardial infarction. At the end of the follow-up (3 to 60 months, mean 32), all of the 13 patients alive had improved in terms of vascular disease. Hypertension was improved for 2 patients, stable for 10, worse for 1. Creatinine serum level was stable for 12 patients, and the renal insufficient was worsened.
  
  
  CONCLUSIONS
  Combined percutaneous transluminal renal angioplasty and aortic revascularization seems to be reliable and safe; it can be an alternative to a simultaneous aortic and renal revascularization, notably for high-risk patients.
authors.affiliation: Service de chirurgie générale, à compétence thoracique et vasculaire, CHRU G Montpied, Clermont-Ferrand.
authors.forename: T
authors.initials: T
authors.lastname: Therre
authors.forename: L
authors.initials: L
authors.lastname: Boyer
authors.forename: A
authors.initials: A
authors.lastname: Ravel
authors.forename: N
authors.initials: N
authors.lastname: Perez
authors.forename: D
authors.initials: D
authors.lastname: Carrié
authors.forename: G
authors.initials: G
authors.lastname: Glanddier
authors.forename: J F
authors.initials: JF
authors.lastname: Viallet
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000150:complications / Q000628:therapy*; D012189:Retrospective Studies
vernacular_title: Angioplastie des sténoses de l'artère rénale avant traitement chirurgical de lésions aortiques abdominales sous-rénales.