Dubernard J M, Martin X, Mongin D, Gelet A, Canton F
J Urol. 1985 Jan;133(1):13-6. doi: 10.1016/s0022-5347(17)48764-7.
Extracorporeal repair of the renal artery was done in 24 patients for complex lesions extending to branches of the renal artery (9 dysplasias, 5 atheromas and 10 aneurysms). The renal artery and its branches were replaced by a hypogastric branched autograft in 20 patients and a saphenous vein graft in 4. Indications for an extracorporeal operation were hypertension, preservation of renal function against progressive deterioration and extension of the lesion to more than 2 branches of the renal artery. Of 76 peripheral anastomoses 68 were patent postoperatively. Two secondary nephrectomies were performed. Mean followup was 54 months. Hypertension was cured in 19 patients and improved in 2, while 2 failed treatment and 1 died. An extracorporeal operation may represent the best alternative for treatment of renal arterial lesions involving more than 2 branches.
对24例肾动脉复杂病变累及肾动脉分支（9例发育异常、5例动脉粥样硬化和10例动脉瘤）的患者进行了肾动脉体外修复术。20例患者采用髂内动脉分支自体移植，4例采用大隐静脉移植替换肾动脉及其分支。体外手术的指征为高血压、防止肾功能进行性恶化以及病变累及肾动脉2个以上分支。76例周围吻合术中，术后68例通畅。进行了2例二期肾切除术。平均随访54个月。19例患者高血压治愈，2例改善，2例治疗失败，1例死亡。体外手术可能是治疗累及2个以上分支的肾动脉病变的最佳选择。
