Operative therapy of renovascular hypertension
dc.contributor.author | Stanley, James C. | en_US |
dc.contributor.author | Whitehouse, Walter M. Jr. | en_US |
dc.contributor.author | Graham, Linda M. | en_US |
dc.contributor.author | Cronenwett, Jack L. | en_US |
dc.contributor.author | Zelenock, Gerald B. | en_US |
dc.contributor.author | Lindenauer, S. Martin | en_US |
dc.date.accessioned | 2006-04-28T16:32:37Z | |
dc.date.available | 2006-04-28T16:32:37Z | |
dc.date.issued | 1982-12 | en_US |
dc.identifier.citation | Stanley, J. C.; Whitehouse, W. M.; Graham, L. M.; Cronenwett, J. L.; Zelenock, G. B.; Lindenauer, S. M. (1982)."Operative therapy of renovascular hypertension." British Journal of Surgery 69(S6): S63-S66. <http://hdl.handle.net/2027.42/37949> | en_US |
dc.identifier.issn | 0007-1323 | en_US |
dc.identifier.issn | 1365-2168 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/37949 | |
dc.description.abstract | Three hundred and thirteen patients exhibiting renal artery occlusive disease underwent operation for renovascular hypertension. These included 34 paediatric and 144 adult patients with fibrodysplastic disease. Atherosclerotic lesions affected an additional 64 patients without and 71 patients with clinically overt extrarenal arteriosclerotic cardiovascular disease. Ischaemic kidney renin hypersecretion (renal: systemic renin index > 0·48), associated with suppressed contralateral kidney renin secretion (renal: systemic renin index approaching 0·0), predicted curability most reliably. Four hundred and fifteen operations were performed of which 356 were primary and 59 were secondary procedures. Aortorenal bypass using autogenous vein (227 cases) or prosthetic grafts (62 cases) was the most common primary operation. Nephrectomy was the initial therapy in 17 cases. Six operative deaths occurred in patients manifesting overt extrarenal arteriosclerotic disease. No operative mortality was encountered among the remaining 242 patients. Improvement was seen following operation in 97 per cent of paediatric patients and 94 per cent of adults with fibrodysplastic disease, in 91 per cent of patients with focal renal arteriosclerosis and in 72 per cent of those exhibiting overt extrarenal arteriosclerosis. | en_US |
dc.format.extent | 430063 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | John Wiley & Sons, Ltd. | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Medicine | en_US |
dc.title | Operative therapy of renovascular hypertension | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Surgery and Anesthesiology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Division of Peripheral Vascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA ; University Hospital, 1405 East Ann Street, Ann Arbor, Michigan 48109, USA | en_US |
dc.contributor.affiliationum | Division of Peripheral Vascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Division of Peripheral Vascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Division of Peripheral Vascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Division of Peripheral Vascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Division of Peripheral Vascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/37949/1/1800691320_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/bjs.1800691320 | en_US |
dc.identifier.source | British Journal of Surgery | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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