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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1988-3-25
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pubmed:abstractText |
The effects of renal revascularization on blood pressure and renal function were evaluated in 8 hypertensive patients with renal impairment and renal artery stenosis in both kidneys (6 cases) or in a solitary kidney (2 cases). Mean age was 66 +/- 7 years. The mean duration of arterial hypertension was 13 +/- 8 years. In spite of treatment with 3 antihypertensive drugs (or more in 5 cases) blood pressure values ranged from 170-90 to 260-150 mmHg. Adding captopril (in 3 cases) or minoxidil (in 1 case) resulted in control of hypertension in 1 patient and further deterioration of renal function in 2. Two patients underwent surgery after failure of percutaneous transluminal angioplasty. There were 6 revascularizations and 2 nephrectomies with contralateral revascularization. One patient died post-operatively. In the remaining 7 patients, the hypertension was controlled with one or two drugs and the renal function remained stable or improved over a mean follow-up period of 2 years. We consider that these results warrant radiological exploration in all patients, even old, with renal impairment and drug-resistant hypertension. Renal revascularization must be performed as early as possible in view of the rapid degradation of renal function under medical treatment in these patients.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0755-4982
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
9-12
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:2964018-Acute Kidney Injury,
pubmed-meshheading:2964018-Aged,
pubmed-meshheading:2964018-Female,
pubmed-meshheading:2964018-Follow-Up Studies,
pubmed-meshheading:2964018-Glomerular Filtration Rate,
pubmed-meshheading:2964018-Humans,
pubmed-meshheading:2964018-Hypertension, Renovascular,
pubmed-meshheading:2964018-Male,
pubmed-meshheading:2964018-Middle Aged,
pubmed-meshheading:2964018-Nitroprusside,
pubmed-meshheading:2964018-Renal Artery,
pubmed-meshheading:2964018-Renal Artery Obstruction,
pubmed-meshheading:2964018-Renal Circulation
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pubmed:articleTitle |
[Value of the kidney revascularization in renovascular hypertension with kidney failure].
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pubmed:affiliation |
Service de Néphrologie, Hôpital Tenon, Paris.
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pubmed:publicationType |
Journal Article,
English Abstract
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