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- W68080306 abstract "Publisher Summary This chapter discusses the surgical techniques for renal artery revascularization. The choice of operative treatment for renovascular hypertension is primarily based on the findings of renal arteriography. A hypertensive patient is a candidate for renal revascularization if significant obstructive lesions in one or more renal arteries are present. The intravenous pyelogram is a moderately reliable screening procedure. It may show reduced kidney size, delayed excretion, and late contrast density. Scan technique is a useful monitor of viable parenchymal tissue. Split renal function tests give information on the degree of functional changes in both kidneys but are painful and usually unnecessary. Renal-systemic renin indices as a means of prognostication for renal artery reconstruction are useful when definitive assays are obtained. Intraoperative open renal biopsy to distinguish infarction from renal parenchymal ischemia may be useful in deciding between nephrectomy and renal reconstruction. A midline incision is made from the xiphoid to the pubis to expose the upper and middle abdominal aorta and the renal arteries. The standard renal incisions through the flank or back are unsatisfactory because of inadequate exposure of the adjacent aorta and the opposite renal artery." @default.
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- W68080306 date "1984-01-01" @default.
- W68080306 modified "2023-09-27" @default.
- W68080306 title "Surgical techniques for renal artery revascularization" @default.
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