Renal revascularization for recurrent pulmonary edema in patients with poorly controlled hypertension and renal insufficiency: A distinct subgroup of.

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Presentation transcript:

Renal revascularization for recurrent pulmonary edema in patients with poorly controlled hypertension and renal insufficiency: A distinct subgroup of patients with arteriosclerotic renal artery occlusive disease Louis M. Messina, MD, Gerald B. Zelenock, MD, Katharine A. Yao, BS, James C. Stanley, MD Journal of Vascular Surgery Volume 15, Issue 1, Pages 73-82 (January 1992) DOI: 10.1016/0741-5214(92)70015-D Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 A, Preoperative angiogram of bilateral high-grade orificial renal artery stenosis. Postoperative angiogram of right aortorenal saphenous vein graft (B), and orgination of left renal artery graft from the proximal portion of right aortorenal graft (C). Distal left renal artery anastomosis was to the segmental renal artery branches that had been approximated in side-to-side fashion. Journal of Vascular Surgery 1992 15, 73-82DOI: (10.1016/0741-5214(92)70015-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 A, Preoperative angiogram of high-grade orificial renal artery stenosis and occluded left renal artery; also aortic aneurysm. Aortoiliac occlusive disease is also evident. B, Postoperative angiogram after transaortic right renal endarterectomy, left nephrectomy, aortic aneurysmectomy and aortobifemoral bypass graft. Journal of Vascular Surgery 1992 15, 73-82DOI: (10.1016/0741-5214(92)70015-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 A, Preoperative angiogram of high-grade bilateral renal artery stenosis and prior aortofemoral bypass. B, Postoperative angiogram of bilateral iliorenal 6 mm thin-wall expanded polytetrafluoroethylene grafts. Journal of Vascular Surgery 1992 15, 73-82DOI: (10.1016/0741-5214(92)70015-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions