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Related Experiment Videos

Revascularisation for a poorly functioning solitary kidney.

E G Shifrin1, M Witz, B Morag

  • 1Vascular Surgery Unit, Ichilov Hospital, Tel-Aviv Sourasky Medical Center, Israel.

European Journal of Vascular Surgery
|August 1, 1991
PubMed
Summary
This summary is machine-generated.

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Surgical revascularization effectively treats renovascular disease in solitary kidneys, improving function and reducing dialysis needs. Percutaneous transluminal angioplasty (PTA) is not recommended for these challenging cases.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Cardiology

Background:

  • Renovascular disease in a solitary kidney presents significant management challenges.
  • Previous percutaneous transluminal angioplasty (PTA) attempts were unsuccessful in most patients.
  • Preoperative serum creatinine levels indicated impaired kidney function.

Purpose of the Study:

  • To evaluate the efficacy and safety of surgical revascularization for renovascular disease in patients with a solitary kidney.
  • To compare surgical outcomes with previous unsuccessful PTA interventions.

Main Methods:

  • Six patients with solitary kidney renovascular disease underwent surgical revascularization.
  • Procedures included aortorenal bypass (saphenous vein or PTFE) and transaortic renal endarterectomy.

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  • One patient had simultaneous aortic aneurysm repair.

    • Main Results:

    • No mortality or major complications were observed.
    • All patients showed improved postoperative serum creatinine and blood pressure.
    • Four patients discontinued antihypertensive medication; two required reduced doses.

    Conclusions:

    • Surgical revascularization is a safe and effective treatment for renovascular disease in solitary kidneys.
    • An aggressive surgical approach is recommended over PTA for this patient group.
    • Improved solitary kidney function can potentially eliminate the need for hemodialysis.