Renal revascularization was performed using the internal iliac artery in 25 patients. The causes for arterial damage were fibrodysplasia in 19 cases, athero sclerosis in 5 and aneurysm in one. Simple autotransplantation was performed in 10 cases, and ex-situ repair with subsequent autotransplantation in 15. Mean postoperative followup was 5.2 years; renal volume, evaluated with planimetry in IVP, was improved in 65% of the cases. Sixty-eight percent of the patients were cured from hypertension, 28% improved and 8% remained unchanged.
Get full access to this article
View all access options for this article.
References
1.
De Camp PT, Birchall R.: Recognition and treatment of arterial stenosis associated with hypertension . Surgery43:134, 1958.
2.
Dean RH, Wilson JP, Burko H., Foster JH: Saphenous vein aortorenal bypass grafts: Serial arteriographic study. Ann Surg180:469, 1974.
3.
Stanley JC, Ernst CB, Fry WJ: Fate of 100 aortorenal vein grafts: Characteristics of late graft expansion, aneurysmal dilatation and stenosis. Surgery74:931, 1973.
4.
Szilagy DE, Smith RF, Elliott JP, Vrandecic MP: Infection in arterial reconstruction with synthetic grafts. Ann Surg176:321, 1972.
5.
Haimov H., Giron F., Jacobson JH: The expanded polytetrafluoroethylene graft. Three years experience with 362 grafts. Arch Surg114:673, 1979.
6.
Costantini A. , Turini D., Selli C., et al: Ex situ surgery of the kidney: Experience with 20 autotransplantations. Eur Urol4:317, 1978.
7.
Flatmark A., Sodall G., Jervell J., et al: Preliminary experience with extracorporeal renal surgery and autotransplantation. Eur Surg Res9:235, 1977.
8.
Stoney RJ: The arterial autograft. In: Vascular Surgery, ed. by Rutherford. Philadelphia, Saunders Co., 1977, p. 363.
