J. Hajo van Bockel, MD, Pieter J. van den Akker, MD, Peter C

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Presentation transcript:

Extracorporeal renal artery reconstruction for renovascular hypertension J.Hajo van Bockel, MD, Pieter J. van den Akker, MD, Peter C. Chang, MD, Johan C.N.M. Aarts, MD, J. Hermans, PhD, Johan L. Terpstra, MD Journal of Vascular Surgery Volume 13, Issue 1, Pages 101-111 (January 1991) DOI: 10.1016/0741-5214(91)90017-O Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Proportion of patients who were treated by in situ reconstruction compared to those treated by extracorporeal reconstruction in periods of 3 years. Between 1974 and 1989, 151 patients with hypertension were treated by renal artery reconstruction. Journal of Vascular Surgery 1991 13, 101-111DOI: (10.1016/0741-5214(91)90017-O) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Surgery was performed on 78 kidneys. The figure shows the number of distal anastomoses and type of interposition graft in 72 kidneys treated by extracorporeal reconstruction and autotransplantation. The mean number of distal anastomoses per kidney was 2.3 (range, 1 to 5). Six kidneys were treated by autotransplantation only without joining branches (no graft). Journal of Vascular Surgery 1991 13, 101-111DOI: (10.1016/0741-5214(91)90017-O) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 The quality of postoperative blood pressure response at three different time intervals. Results are broken down for adult patients (with fibrodysplasia (FD) and arteriosclerosis (Ascl)) and for children. One operative death was included as “failed.” Journal of Vascular Surgery 1991 13, 101-111DOI: (10.1016/0741-5214(91)90017-O) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 The mean systolic and diastolic blood pressure levels along with the mean number of antihypertensive drugs used at two intervals before and three intervals after the operation (Pre I, Before operation, before medical treatment; Pre II, before operation, after medical treatment; Postop, after operation, at discharge; S-T, at the short-term interval; L-T, at the long-term interval). All patients were included. Values are presented as means and standard deviation. Journal of Vascular Surgery 1991 13, 101-111DOI: (10.1016/0741-5214(91)90017-O) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Serum creatinine levels before the operation (Preop); directly postoperative (Postop); and at the short-term (S-T) and long-term (L-T) intervals in 10 patients with preoperative renal dysfunction. Values are expressed as the 25th and 75th percentiles (box) and standard deviations (error bar). Journal of Vascular Surgery 1991 13, 101-111DOI: (10.1016/0741-5214(91)90017-O) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions