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Intervention in patients with renovascular hypertension and renal insufficiency.

Authors
Type
Published Article
Journal
The Journal of Urology
0022-5347
Publisher
Elsevier
Publication Date
Volume
130
Issue
4
Pages
654–656
Identifiers
PMID: 6224943
Source
Medline
License
Unknown

Abstract

We report on 21 severely hypertensive patients with renal artery stenosis and renal insufficiency in whom percutaneous transluminal angioplasty and/or renal artery surgery was done in an effort to lower blood pressure and to preserve renal function. Of 12 patients who underwent angioplasty renal function and blood pressure improved in 3. Of the 9 patients without improvement 4 suffered permanent oliguric renal failure. An operation was performed in 12 patients, 4 after having failed angioplasty (1 was treated at another institution before referral for surgery). Two patients died postoperatively but 10 improved, with followup in 6 exceeding 3 years. This retrospective experience suggests that percutaneous transluminal angioplasty is not likely to supplant an operation in the treatment of patients with atherosclerotic renovascular hypertension and renal insufficiency.

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