The Surgical Importance of Combined Renal Artery Hypertension With Cervical Cephalic Arterial Occlusive Disease

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Abstract
Patients with hypertension and symptomatic cervicocephalic occlusive disease should have a complete system arteriographic study. Occlusive disease of the cervicocephalic vessels should precede renal artery correction. Renal artery hypertension should also include a study of the cervicocephalic circulation to demonstrate asymptomatic vessel stenosis. The predisposition for multiple sites of chance occlusive disease should not be overlooked. When such a symptom complex is confirmed by radiographic or by arteriographic proof, a staged surgical corrective procedure should be done. The priority should be to the restoration of circulation to the brain followed by staged reconstructive procedure to the blood supply to the kidney.

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