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Long-term Follow-up of 216 Patients up to 20 Years

David S. Starr, MD; Gerald M. Lawrie, MD; George C. Morris, Jr, MD

Arch Surg. 1980;115(4):494-496.

Abstract
• During a period of 20 years, 216 patients between the ages of 19 and 76 years underwent renal artery reconstruction for correction of renovascular hypertension. Reconstruction was bilateral in 18% of the patients. A transperitoneal approach was used in all cases. The most commonly used reconstructions were aortorenal bypass in 43% of the patients, thromboendarterectomy with primary closure or patch in 26%, and nephrectomy in 11%. There were 13 late nephrectomies. There was no operative mortality. Postoperatively, blood pressure was normal in 85% of the patients, improved in 11% and unchanged in 2%. Follow-up was one to 20 years. Actuarial survival at five years was 93%, at ten years 80%, and at 20 years 70%. Normal blood pressure was present at five years in 81% of the survivors, at ten years in 77%, and at 15 years in 74%. The results indicate the excellent long-term results of renovascular reconstruction for renovascular hypertension in appropriate patients.

(Arch Surg 115:494-496, 1980)

Author Affiliations
From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston.

Footnotes
Accepted for publication Dec 20, 1979.

Read before the 87th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 13, 1979.

Reprint requests to Department of Surgery, 1200 Moursund Ave, Houston, TX 77030 (Dr Morris).

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