Novick A C, Banowsky L H, Stewart B H, Straffon R A
Surg Gynecol Obstet. 1977 Feb;144(2):211-8.
Renal revascularization has been performed in six patients in whom severe atherosclerosis or previous operative procedures on the abdominal aorta precluded the performance of a standard aortorenal bypass graft. Splenorenal anastomoses were performed in three patients, superior mesenterorenal anastomosis in one patient, long saphenous vein iliorenal anastomosis in one patient, and renal autotransplantation in one patient. Successful renal revascularization with preservation of renal function was accomplished in all patients. The natural history of severe atherosclerotic renovascular disease has demonstrated the relatively frequent occurrence of arterial thrombosis and renal failure in patients with solitary kidneys. Occasionally, the presence of severe aortic disease precludes the use of standard aortorenal bypass grafting. Fortunately, as reported herein, alternate methods of revascularization are available whereby renovascular hypertension can be corrected and renal function preserved, with minimal operative risk.
对6例患者实施了肾血管重建术，这些患者存在严重动脉粥样硬化或既往有腹主动脉手术史，无法进行标准的主动脉-肾动脉搭桥移植术。3例患者进行了脾肾吻合术，1例患者进行了肠系膜上动脉-肾动脉吻合术，1例患者进行了大隐静脉髂-肾吻合术，1例患者进行了肾自体移植术。所有患者均成功实现了肾血管重建并保留了肾功能。严重动脉粥样硬化性肾血管疾病的自然病程表明，孤立肾患者动脉血栓形成和肾衰竭的发生率相对较高。偶尔，严重的主动脉疾病会妨碍使用标准的主动脉-肾动脉搭桥移植术。幸运的是，如本文所报道，有其他血管重建方法可供选择，通过这些方法可以纠正肾血管性高血压并保留肾功能，且手术风险最小。
