Journal of Vascular Surgery
Volume 28, Issue 1 , Pages 14-22 , July 1998

Prophylactic repair of renal artery stenosis is not justified in patients who require infrarenal aortic reconstruction

Presented at the Twelfth Annual Meeting of the Western Vascular Society, Lana'i, Hawaii, Sep. 27–Oct. 1, 1997.

Received 7 October 1997 ,Accepted 15 December 1997.

References 

  1. Cambria RP, Brewster DC, L'Italien G, Koustas G, Atamian S, LaMuraglia GM, et al.  Simultaneous aortic and renal artery reconstruction: evolution of an eighteen-year experience. J Vasc Surg. 1995;21:916–925
  2. Stewart MT, Smith RB, Fulenwider JT, Perdue GD, Wells JO. Concomitant renal revascularization in patients undergoing aortic surgery. J Vasc Surg. 1985;2:400–405
  3. Zierler RE, Bergein RO, Issacson JA, Strandness DE. Natural history of atherosclerotic renal artery stenosis: a prospective study with duplex ultrasonography. J Vasc Surg. 1994;19:250–258
  4. Tollefson DFJ, Ernst CB. Natural history of atherosclerotic renal artery stenosis associated with aortic disease. J Vasc Surg. 1991;14:327–331
  5. Chaikof EL, Smith RB, Salam AA, Dodson TF, Lumsden AB, Kosinski AS, et al.  Ischemic nephropathy and concomitant aortic disease: a ten-year experience. J Vasc Surg. 1994;19:135–148
  6. Reilly JM, Rubin BG, Thompson RW, Allen BT, Flye MW, Anderson CB, et al.  Revascularization of the solitary kidney: a challenging problem in a high-risk population. Surgery. 1996;120:732–737
  7. Benjamin ME, Hansen KJ, Craven TE, Kieth DR, Plonk GW, Geary RL, et al.  Combined aortic and renal artery surgery: a contemporary experience. Ann Surg. 1996;223:555–567
  8. Bunt TJ. The role of a defined protocol for cardiac risk assessment in decreasing perioperative myocardial infarction in vascular surgery. J Vasc Surg. 1992;15:626–634
  9. Hertzer NR, Beven EG, Young JR, O'Hara PJ, Ruschhaupt WF, Graor RA, et al.  Coronary artery disease in peripheral vascular patients: a classification of 100 coronary angiograms and results of surgical management. Ann Surg. 1984;199:223–233
  10. Brewster DC, Buth J, Darling RC, Austen WG. Combined aortic and renal artery reconstruction. Am J Surg. 1976;131:457–463
  11. Yeager RA, Weigel RM, Murphy ES, McConnell DB, Sasaki TM, Vetto RM. Application of clinically valid cardiac risk factors to aortic aneurysm surgery. Arch Surg. 1986;121:278–281
  12. O'Mara CS, Maples MD, Kilgore TL, McMullan MH, Tyler HB, Mundinger GH, et al. Simultaneous aortic reconstruction and bilateral renal revascularization: Is this a safe and effective procedure?. J Vasc Surg. 1988;8:357–366
  13. McNeil JW, String ST, Pfiffer RB. Concomitant renal endarterectomy and aortic reconstruction. J Vasc Surg. 1994;20:331–337
  14. Ernst CB. Surgical treatment of nonruptured infrarenal and juxtarenal aortic aneurysms. In: 3rd ed.  Ernst CB,  Stanley JC editor. Current therapy in vascular surgery. St. Louis: Mosby; 1995;p. 218–223
  15. Hansen KJ, Lundberg AH, Benjamin ME, Casey WJ, Craven TE, Bleyer AJ, et al. Is renal revascularization in diabetic patients worthwhile?. J Vasc Surg. 1996;24:383–393
  16. Dean RH, Tribble RW, Hansen KJ, O'Neil E, Craven TE, Redding JF. Evolution of renal insufficiency in ischemic nephropathy. Ann Surg. 1991;213:446–456

☆ From the Division of Vascular Surgery, Department of Surgery, Oregon Health Sciences University and Portland Department of Veterans Affairs Hospital.

☆☆ Reprint requests: Gregory L. Moneta, MD, Professor of Surgery, Division of Vascular Surgery, OP-11, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd., Portland, OR 97201.

★ 24/6/88280

PII: S0741-5214(98)70195-8

Journal of Vascular Surgery
Volume 28, Issue 1 , Pages 14-22 , July 1998

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