Surgical management and results of renal artery revascularization

Many hypertensive patients with renal artery stenosis and abnormal finding on renin angiotensin assay can expect to enjoy a good clinical response from renal artery reconstruction. A total of 183 renal artery revascularisation procedures were carried out between 1976 and 1982 with an average follow up of 36 months. Over 86% of patients were cured or had significant improvement in their blood pressure parameters with a minimal of morbidity. Those patients who do not have satisfactory results from the surgical correction should undergo reevaluation to detect any correctable anatomic defect.