[Surgery of the renal artery: the role of the vascular surgeon in current therapy].
BACKGROUND
After the establishment of the different operation procedures, in the 1970s and 1980s, PTA and stenting were favoured in the follow-ing decade.


METHODS
Current operative, interventional and endovascular procedures are described and the results of several multicentre studies are discussed.


CONCLUSIONS
Vascular surgery was required only for treatment of complications and for the combination of treatment of the renal artery together with aortoiliac reconstruction. Numerous studies lead one to believe that medical treatment alone was justified in renal artery stenoses. Nevertheless, all these studies can be criticised, therefore, treatment of the renal artery is still required. Evidence-based data should be generated for optimal treatment of renal artery stenoses.
Klinikum Bremen-Nord, Gefäßchirurgie, Bremen, Deutschland. heiner.wenk@gmx.de
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Wenk
D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D000075202:Contraindications; D006305:Health Status Indicators; D006801:Humans; D006978:Hypertension, Renovascular / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000601:surgery; D016032:Randomized Controlled Trials as Topic; D012078:Renal Artery Obstruction / Q000601:surgery*; D015607:Stents; D014656:Vascular Surgical Procedures; D014680:Veins / Q000637:transplantation