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Bilateral Simultaneous Renal Endarterectomy
OTTO H. TRIPPEL, MD;
JOHN J. BERGAN, MD;
NORMAN M. SIMON, MD;
VINCENT J. O'CONOR, JR., MD
AMA Arch Surg. 1964;88(5):818-824.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Reminiscent of Goldblatt's monumental studies of 30 years ago, there is today a growing awareness of the clinical importance of renal artery narrowing as a cause of renal ischemia leading to hypertension and at times renal failure. It is fortunate that hypertension resulting from renal artery stenosis is often surgically correctable, the majority of cases responding to renal revascularization or nephrectomy.
Renal artery stenosis is usually unilateral, but in a significant number of patients bilateral stenosis is found. The present series of six individuals with bilateral lesions was derived from a total of 24 patients undergoing renal artery reconstruction for renovascular hypertension. This incidence of 25% correlates well with published reports of other investigators performing renal revascularization.3 These six patients underwent bilateral renal revascularization as a single-stage operation. All had bilateral renal endarterectomy as the reconstructive procedure of choice.
Material and Methods
Six patients with hypertension secondary to bilateral
. . . [Full Text PDF of this Article]
Author Affiliations
CHICAGO
From the departments of surgery, medicine and urology, Northwestern University Medical School, the Chicago Wesley Memorial Hospital and the Veterans Administration Research Hospital.
Footnotes
Read before the 71st Annual Session of the Western Surgical Association, Galveston, Tex, Nov 21-23, 1963.
Supported by the United States Public Health Service, grant HE:06652-02.
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