RESULTS OF SURGICAL REVASCULARIZATION OF THE KIDNEY

There are many different etiologies of renal artery disease (atheroscl erosis, aneurysm, dissection, arteriovenous fistula, embolism, fibromu scular dysplasia) and also a lot of different therapies (conservative treatment, percutaneous transluminal angioplasty [PTA], endarterectomy , bypass grafting, patch plasty, nephrectomy). Recently conservative t reatment and PTA have significantly improved. Patients who are referre d to surgery today are of older age with severe and often bilateral di sease of the renal arteries. Additional manifestations of general athe rosclerosis like coronary artery disease, aortic aneurysm, peripheral occlusive vessel disease and cerebral vascular insufficiency are often present as well. The main goal of all forms of treatment is the prese rvation of general renal function. With our retrospective study the re sults after surgical revascularisation of kidneys are evaluated over a short period of time. Only graft revascularisations are included in t he study and we were mainly interested in renal function and blood pre ssure.