Revascularization for Preservation of Renal Function in Patients with Atherosclerotic Renovascular Disease

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Abstract
Patients, (51) with atherosclerotic renovascular disease have undergone elective revascularization primarily to preserve renal function. In all patients the blood pressure was well controlled preoperatively with medical therapy and was not an indication for revascularization. The preoperative serum creatinine value was 2.0 mg/dl or more in 35 patients and < 2.0 mg/dl in 16. Vascular reconstruction was technically successful in all patients, with postoperative follow-up ranging from 4-76 mo. The current level of over-all renal function is improved in 34 patients (67%), unchanged in 14 (27%) and deteriorated in 3 (6%). In selected patients with atherosclerotic renal artery disease revascularization can achieve preservation or improvement of renal function.