Mulherin J L, Edwards W H
Ann Surg. 1987 Jun;205(6):740-6. doi: 10.1097/00000658-198706000-00017.
Saphenous vein aortorenal bypass is the most commonly used surgical procedure for relief of renovascular hypertension. Years of experience have shown the procedure to be effective with satisfactory long-term results. Coexisting disease conditions of the aorta sometimes make alternative methods of renal revascularization preferable, especially when more than one renal artery is involved. Such alternative procedures include transaortic endarterectomy, bilateral renal endarterectomy via a transverse incision across both renal arteries, or extra-anatomic bypass from the splenic, hepatic, or iliac arteries. Two hundred twenty-five renal revascularization procedures performed either alone or in combination with other abdominal vascular procedures during the last 5 years is reported. In 18 patients, one of the above procedures was performed. This experience with these various types of renal revascularization will be discussed with particular reference to indications, technique, and potential pitfalls of each procedure.
大隐静脉主动脉-肾动脉搭桥术是缓解肾血管性高血压最常用的外科手术。多年的经验表明该手术有效，长期效果令人满意。主动脉并存的疾病状况有时使其他肾血管重建方法更为可取，尤其是当涉及多条肾动脉时。此类替代手术包括经主动脉内膜切除术、经横跨双侧肾动脉的横向切口进行双侧肾内膜切除术，或来自脾动脉、肝动脉或髂动脉的解剖外搭桥术。本文报告了过去5年中单独或与其他腹部血管手术联合进行的225例肾血管重建手术。18例患者接受了上述手术之一。将结合每种手术的适应症、技术和潜在陷阱，讨论这些不同类型肾血管重建的经验。
