Related Experiment Videos
Renovascular hypertension in elderly patients
1Department of Urology, Lahey Clinic Medical Center, Burlington, Massachusetts.
Cardiology Clinics
|August 1, 1991
Summary
Hepatorenal or splenorenal bypass surgery offers a viable alternative for elderly patients with renovascular disease-induced hypertension or azotemia. These procedures demonstrate acceptable outcomes in carefully selected older individuals.
Area of Science:
- Vascular Surgery
- Nephrology
- Geriatric Medicine
Background:
- Renovascular disease can lead to uncontrolled hypertension and azotemia in elderly patients.
- Aortorenal bypass may be challenging due to diffuse atherosclerosis in this population.
Purpose of the Study:
- To evaluate the utility of hepatorenal or splenorenal bypass as surgical alternatives for elderly patients with renovascular disease.
- To assess the safety and efficacy of these bypass procedures in a geriatric cohort.
Main Methods:
- Review of surgical outcomes for elderly patients undergoing hepatorenal or splenorenal bypass.
- Comparison of morbidity and mortality rates with historical data or alternative treatments.
Main Results:
- Hepatorenal and splenorenal bypass procedures are effective alternatives for managing renovascular disease complications in the elderly.
- These surgical interventions can be performed with acceptable morbidity and mortality rates in appropriately screened elderly patients.
Conclusions:
- Surgical bypass, specifically hepatorenal or splenorenal, provides a valuable treatment option for elderly patients with severe renovascular disease.
- Careful patient selection is crucial for achieving favorable surgical outcomes in this demographic.