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Pregled bibliografske jedinice broj: 146234

Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis


Mareković, Zvonimir; Mokos, Ivica; Krhen, Ivan; Goreta, Nedjeljka; Rončević, Tomislav
Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis // Journal of Urology, 171 (2004), 3; 1043-1045 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 146234 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis

Autori
Mareković, Zvonimir ; Mokos, Ivica ; Krhen, Ivan ; Goreta, Nedjeljka ; Rončević, Tomislav

Izvornik
Journal of Urology (0022-5347) 171 (2004), 3; 1043-1045

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Fibromuscular dysplasia; renal artery obstruction; arteriosclerosis; surgery

Sažetak
PURPOSE: At a time of minimally invasive surgery in urology, the role of surgical kidney revascularization in the management of renal artery disease has changed during the last decade. Our experience with surgical kidney revascularization, and the long-term clinical outcomes of fibromuscular dysplasia (FMD) and atherosclerotic renal artery stenosis are reviewed. MATERIALS AND METHODS: The study group comprised 140 patients with renovascular hypertension, 72 with FMD and 68 with atherosclerotic renal artery disease, who underwent surgical revascularization between 1982 and 1999. The indications for surgical revascularization were the treatment of hypertension and the preservation of renal function in 17 patients with renal artery occlusion, 55 with ostial stenosis, 52 with branch stenosis, 6 with bilateral artery stenosis, 7 with solitary kidney renal artery stenosis and 3 with solitary kidney renal artery occlusion. RESULTS: Postoperative blood pressure and renal function were monitored for 1 to 17 years (mean 11.3). Long-term blood pressure control was observed in 93% of patients with FMD and in 71% of those with atherosclerosis. Improvement or stabilization of renal function was observed in 92% of patients with FMD and in 68% of those with atherosclerosis. The preoperative estimated glomerular filtration rate compared to postoperative was significantly increased in both groups. CONCLUSIONS: Surgical kidney revascularization is effective in secondary hypertension with a high long-term efficacy in the normalization of blood pressure and in the preservation of renal function, especially in patients with a solitary or 1 functional kidney.

Izvorni jezik
Engleski



POVEZANOST RADA


Profili:

Avatar Url Zvonimir Mareković (autor)

Avatar Url Ivan Krhen (autor)

Avatar Url Tomislav Rončević (autor)


Citiraj ovu publikaciju

Mareković, Zvonimir; Mokos, Ivica; Krhen, Ivan; Goreta, Nedjeljka; Rončević, Tomislav
Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis // Journal of Urology, 171 (2004), 3; 1043-1045 (međunarodna recenzija, članak, znanstveni)
Mareković, Z., Mokos, I., Krhen, I., Goreta, N. & Rončević, T. (2004) Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis. Journal of Urology, 171 (3), 1043-1045.
@article{article, year = {2004}, pages = {1043-1045}, keywords = {Fibromuscular dysplasia, renal artery obstruction, arteriosclerosis, surgery}, journal = {Journal of Urology}, volume = {171}, number = {3}, issn = {0022-5347}, title = {Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis}, keyword = {Fibromuscular dysplasia, renal artery obstruction, arteriosclerosis, surgery} }
@article{article, year = {2004}, pages = {1043-1045}, keywords = {Fibromuscular dysplasia, renal artery obstruction, arteriosclerosis, surgery}, journal = {Journal of Urology}, volume = {171}, number = {3}, issn = {0022-5347}, title = {Long-term outcome after surgical kidney revascularization for fibromuscular dysplasia and arteriosclerotic renal artery stenosis}, keyword = {Fibromuscular dysplasia, renal artery obstruction, arteriosclerosis, surgery} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





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