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Alternatives to aortorenal revascularization
The Journal of Cardiovascular Surgery
|July 1, 1982
Summary
Extra-aortic bypass procedures offer a safer alternative for renal revascularization when the aorta is unsuitable. These methods effectively restore renal blood flow, particularly for patients with renal artery disease and hypertension.
Area of Science:
- Vascular Surgery
- Nephrology
- Cardiovascular Disease
Background:
- Renal revascularization effectively treats renal artery disease and associated hypertension.
- Aortorenal bypass is the standard surgical approach.
- Alternative methods are needed when aortic access is hazardous.
Purpose of the Study:
- To present indications and surgical techniques for extra-aortic renal bypass procedures.
- To highlight alternatives to aortorenal bypass when aortic use is contraindicated.
Main Methods:
- Review of indications for extra-aortic renal bypass.
- Description of surgical techniques for various extra-aortic procedures.
- Comparison of risks between aortic and extra-aortic approaches.
Main Results:
- Extra-aortic procedures provide effective restoration of renal blood flow.
- These methods are less hazardous than aortic replacement with concomitant renal revascularization.
Conclusions:
- Extra-aortic renal bypass is a viable and safer option for select patients.
- Contraindications for aortic use include prior surgery, severe atherosclerosis, aneurysms, and specific aortic diseases.