| pubmed-article:2918622 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0684224 | lld:lifeskim |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0014098 | lld:lifeskim |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0022646 | lld:lifeskim |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0003483 | lld:lifeskim |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0449851 | lld:lifeskim |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0205195 | lld:lifeskim |
| pubmed-article:2918622 | lifeskim:mentions | umls-concept:C0439611 | lld:lifeskim |
| pubmed-article:2918622 | pubmed:issue | 2 | lld:pubmed |
| pubmed-article:2918622 | pubmed:dateCreated | 1989-3-27 | lld:pubmed |
| pubmed-article:2918622 | pubmed:abstractText | The optimal surgical management of combined aortic and renal atherosclerosis has not been defined. A modified technique of renal endarterectomy performed through the transected aorta before anastomosis of the aortic prosthesis is presented. The surgical course and early follow-up results of the first 44 consecutive patients treated by this technique are reported. Twenty-three patients (25%) had symptomatic coronary artery disease, 36 patients (82%) had arterial hypertension, and 28 patients (64%) had elevated serum creatinine levels (mean 2.10 mg/dl). Primary indications for operation related to aortic disease in 39 patients (89%) and to poorly controlled hypertension in five patients (11%). Seventy-five renal arteries were revascularized; 11% of these arteries were occluded. Revascularizations were bilateral in 27 patients (61%), involved a solitary kidney in three patients (6%), and were unilateral in 14 patients (32%). Aortobifemoral bypass grafting was performed in 16 patients (36%), aortoiliac bypass was performed in 15 patients (34%), and infrarenal aortic replacement was performed in 11 patients (25%). Postoperative complications developed in 14 patients (32%). There were two postoperative deaths (4%). Nineteen patients had transient increases in serum creatinine levels greater than 0.5 mg/dl. Two patients required postoperative dialysis, neither related to failure of their renal revascularization. There were five late deaths, all as a result of myocardial infarction. Renal function improved in four patients and remained stable in 22 patients. Blood pressure was improved in 64% of patients previously hypertensive. These preliminary results indicate that renal endarterectomy through the transected aorta along with aortic reconstruction is a safe, efficient, and effective means of treating these complex lesions. | lld:pubmed |
| pubmed-article:2918622 | pubmed:commentsCorrections | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:2918622 | pubmed:language | eng | lld:pubmed |
| pubmed-article:2918622 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:2918622 | pubmed:citationSubset | IM | lld:pubmed |
| pubmed-article:2918622 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:2918622 | pubmed:month | Feb | lld:pubmed |
| pubmed-article:2918622 | pubmed:issn | 0741-5214 | lld:pubmed |
| pubmed-article:2918622 | pubmed:author | pubmed-author:GoldstoneJJ | lld:pubmed |
| pubmed-article:2918622 | pubmed:author | pubmed-author:StoneyR JRJ | lld:pubmed |
| pubmed-article:2918622 | pubmed:author | pubmed-author:MessinaL MLM | lld:pubmed |
| pubmed-article:2918622 | pubmed:author | pubmed-author:ReillyL MLM | lld:pubmed |
| pubmed-article:2918622 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:2918622 | pubmed:volume | 9 | lld:pubmed |
| pubmed-article:2918622 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:2918622 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:2918622 | pubmed:pagination | 224-33 | lld:pubmed |
| pubmed-article:2918622 | pubmed:dateRevised | 2006-11-15 | lld:pubmed |
| pubmed-article:2918622 | pubmed:meshHeading | pubmed-meshheading:2918622-... | lld:pubmed |
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| pubmed-article:2918622 | pubmed:meshHeading | pubmed-meshheading:2918622-... | lld:pubmed |
| pubmed-article:2918622 | pubmed:meshHeading | pubmed-meshheading:2918622-... | lld:pubmed |
| pubmed-article:2918622 | pubmed:year | 1989 | lld:pubmed |
| pubmed-article:2918622 | pubmed:articleTitle | Renal endarterectomy through the transected aorta: a new technique for combined aortorenal atherosclerosis--a preliminary report. | lld:pubmed |
| pubmed-article:2918622 | pubmed:affiliation | Department of Surgery, University of California, San Francisco. | lld:pubmed |
| pubmed-article:2918622 | pubmed:publicationType | Journal Article | lld:pubmed |
| pubmed-article:2918622 | pubmed:publicationType | Research Support, Non-U.S. Gov't | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:2918622 | lld:pubmed |
