PMID: 41356Jul 1, 1979

Cause of failure in the surgery of renovascular hypertension

Vestnik khirurgii imeni I. I. Grekova
V N Chernyshev, Kh Kh Kalimullin


The experience of 193 operations on 172 patients with affected renal arteries is described. The causes of failure in the surgery are analyzed. Organ-preserving operations with reconstruction of 189 renal arteries were performed on 136 patients. Primary nephrectomies were performed on 36 patients. During recent 3 years nephrectomies were made in 8% of 70 operations. Postoperative mortality was about 7%, mainly due to atherosclerotic patients. The main causes of uneffective operations are as follows: technical errors in revascularization of the kidney, pyelonephritis and neuroangiosclerosis non-diagnosed preoperatively, progressing lesions of the vessels in atherosclerosis and panarteritis.

Related Concepts

Hypertension, Renovascular
Pyelonephritis Acute Necrotizing
Structure of Renal Artery
Renal Hypertension
Postoperative Complications
Polyarteritis Nodosa

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