“Whoa! It’s like Spotify but for academic articles.”

Instant Access to Thousands of Journals for just $40/month

Surgical Revascularization of Atherosclerotic Renovascular Disease: State of the Art

No single method provides optimal open operative repair for every type of renovascular disease. Aortorenal bypass is the most versatile technique; however transaortic thromboendarterectomy is especially useful for orificial atherosclerosis that involves multiple renal arteries. Regardless of the method of repair, intraoperative assessment with duplex sonography ensures flawless reconstruction, contributing to 96% primary patency at 5-years followup. When applied to our 500 consecutive, hypertensive adults, 85% demonstrated either cured (12%) or improved (75%) hypertension after operation. Among patients with ischemic nephropathy (serum creatinine 2 1.8 mg/dL), 58% demonstrated a greater than 20% increase in estimated glomerular filtration rate, including 28 of 35 patients permanently removed from dialysis-dependence. Compared with the cumulative data regarding renal artery balloon angioplasty and stenting of ostial atherosclerosis, open operative repair yields superior blood pressure, renal function, and follow-up anatomic results. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Perspectives in Vascular Surgery and Endovascular Therapy SAGE

Surgical Revascularization of Atherosclerotic Renovascular Disease: State of the Art

Abstract

No single method provides optimal open operative repair for every type of renovascular disease. Aortorenal bypass is the most versatile technique; however transaortic thromboendarterectomy is especially useful for orificial atherosclerosis that involves multiple renal arteries. Regardless of the method of repair, intraoperative assessment with duplex sonography ensures flawless reconstruction, contributing to 96% primary patency at 5-years followup. When applied to our 500 consecutive, hypertensive adults, 85% demonstrated either cured (12%) or improved (75%) hypertension after operation. Among patients with ischemic nephropathy (serum creatinine 2 1.8 mg/dL), 58% demonstrated a greater than 20% increase in estimated glomerular filtration rate, including 28 of 35 patients permanently removed from dialysis-dependence. Compared with the cumulative data regarding renal artery balloon angioplasty and stenting of ostial atherosclerosis, open operative repair yields superior blood pressure, renal function, and follow-up anatomic results.
Loading next page...
 
/lp/sage/surgical-revascularization-of-atherosclerotic-renovascular-disease-zW0fOe6Mw3

Sorry, we don’t have permission to share this article on DeepDyve,
but here are related articles that you can start reading right now:

Explore the DeepDyve Library

How DeepDyve Works

Spend time researching, not time worrying you’re buying articles that might not be useful.

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from Springer, Elsevier, Nature, IEEE, Wiley-Blackwell and more.

All the latest content is available, no embargo periods.

See the journals in your area

Simple and Affordable Pricing

14-day free trial. Cancel anytime, with a 30-day money-back guarantee.

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$40/month

Best Deal — 25% off

Annual Plan

  • All the features of the Professional Plan, but for 25% off!
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$30/month
billed annually