This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (41)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Extension Cephalad to Origin of Renal Arteries, With Surgical Considerations and Results

Manuel M. R. Gomes, MD; Philip E. Bernatz, MD

AMA Arch Surg. 1970;101(2):161-166.

Abstract
Seventy-one patients with aorto-iliac occlusive disease and associated renalartery stenosis were operated on at the Mayo Clinic. Of these, 65% (46) had hypertension and 18% (13) had chronic renal failure. Revascularization of the lower extremities was performed with bifurcated, knitted Dacron prostheses in all cases. Endarterectomy of the origin of the renal arteries, from inside the aorta, was the most frequent method used to revascularize the kidneys (49 cases). The operative mortality was 6% (four patients). After a mean follow-up of three years, 81% (58) of the patients had significant benefit from revascularization of the lower extremities, and 46% (33) of the hypertensive patients had normal blood pressure. Eight other patients were normotensive when taking a diuretic. The most significant postoperative complication was renal failure, which occurred in 12 cases; it was transitory in six of these.

Author Affiliations
Rochester, Minn

From the Mayo Graduate School of Medicine (University of Minnesota [Dr. Gomes]), and Department of Surgery, Mayo Clinic and Mayo Foundation (Dr. Bernatz), Rochester, Minn.

Footnotes
Submitted for publication March 4, 1970.

Read before the 27th annual meeting of the Central Surgical Association, Detroit, Feb 26, 1970.

Reprint requests to Mayo Clinic, 200 First St SW, Rochester, Minn 55901.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Combined Aortic Aneurysm Repair and Renal Revascularization
Coleman et al.
PERSPECT VASC SURG ENDOVASC THER 1991;4:48-62.
 

Lethal Complications Associated With Nonrestrictive Treatment of Abdominal Aortic Aneurysms
Cho et al.
Arch Surg 1982;117:1214-1217.
ABSTRACT  

Simultaneous Aortic and Renal Artery Reconstruction
Shahian et al.
Arch Surg 1980;115:1491-1497.
ABSTRACT  

Reversible Renal Failure Following Bilateral Renal Artery Occlusive Disease: Clinical Features, Pathology, and the Role of Surgical Revascularization
Besarab et al.
JAMA 1976;235:2838-2841.
ABSTRACT  

Optimal Resources for Vascular Surgery
DeWeese et al.
Arch Surg 1972;105:948-961.
ABSTRACT