Barral X, Gournier J P, Frering V, Favre J P, Berthoux F
Service de Chirurgie Vasculaire, Centre Hospitalier et Universitaire, Saint-Etienne, France.
Ann Vasc Surg. 1992 May;6(3):225-31. doi: 10.1007/BF02000267.
Between November 1980 and July 1989, 29 ex vivo reconstructions were performed in 12 women and five men (mean age: 42 years) for dysplastic lesions of renal artery branches. Fifteen patients had hypertension, associated with advanced renal failure in one case. The internal iliac artery was used routinely for reconstruction. The saphenous vein was used on one side where bilateral repairs were necessary. A total of 52 distal anastomoses were performed, an average of 2.6 per revascularized kidney. Mean follow-up was four years and 10 months. No patients were lost to follow-up. There were no early or late deaths. At least one follow-up arteriogram and technetium99 diethylene triamine pentacetic acid scintiscan was obtained for all patients. Forty-five (86%) of 52 anastomoses remained patent. Eleven of 15 hypertensive patients completely recovered while four were improved. Systolic arterial blood pressure decreased by an average of 42 mmHg (p less than 0.001), and results remained stable with time. For fibromuscular dysplasia occurring in young patients whose life expectancy is usually long, this type of surgery provides excellent long-term clinical and anatomical results.
1980年11月至1989年7月期间，对12名女性和5名男性（平均年龄42岁）的肾动脉分支发育异常病变进行了29次体外重建手术。15例患者患有高血压，其中1例伴有晚期肾衰竭。常规使用髂内动脉进行重建。在需要双侧修复的一侧使用大隐静脉。共进行了52次远端吻合，每个血管重建的肾脏平均进行2.6次。平均随访时间为4年10个月。没有患者失访。无早期或晚期死亡病例。所有患者均至少进行了一次随访动脉造影和锝99二乙三胺五乙酸闪烁扫描。52次吻合中有45次（86%）保持通畅。15例高血压患者中11例完全康复，4例病情改善。收缩动脉血压平均下降42 mmHg（p<0.001），且结果随时间保持稳定。对于通常预期寿命较长的年轻患者发生的纤维肌发育异常，这种手术方式可提供优异的长期临床和解剖学效果。
