Dysplastic lesions of renal artery branches: late results of ex vivo repair
| Autor: | François Berthoux, Vincent Frering, Jean-Paul Gournier, Jean-Pierre Favre, Xavier Barral |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Hypertension Renal Adolescent Fibromuscular dysplasia Anastomosis Kidney Function Tests Iliac Artery Renovascular hypertension Renal Artery medicine.artery Medicine Fibromuscular Dysplasia Humans Saphenous Vein Renal artery Vein Child Kidney business.industry Anastomosis Surgical General Medicine Middle Aged medicine.disease Internal iliac artery Surgery Radiography medicine.anatomical_structure Blood pressure Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Annals of vascular surgery. 6(3) |
| ISSN: | 0890-5096 |
| Popis: | Between November 1980 and July 1989, 29 ex vivo reconstructions were performed in 12 women and five men (mean age: 42 years) for dysplastic lesions of renal artery branches. Fifteen patients had hypertension, associated with advanced renal failure in one case. The internal iliac artery was used routinely for reconstruction. The saphenous vein was used on one side where bilateral repairs were necessary. A total of 52 distal anastomoses were performed, an average of 2.6 per revascularized kidney. Mean follow-up was four years and 10 months. No patients were lost to follow-up. There were no early or late deaths. At least one follow-up arteriogram and technetium99 diethylene triamine pentacetic acid scintiscan was obtained for all patients. Forty-five (86%) of 52 anastomoses remained patent. Eleven of 15 hypertensive patients completely recovered while four were improved. Systolic arterial blood pressure decreased by an average of 42 mmHg (p less than 0.001), and results remained stable with time. For fibromuscular dysplasia occurring in young patients whose life expectancy is usually long, this type of surgery provides excellent long-term clinical and anatomical results. |
| Databáze: | OpenAIRE |
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