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  • Title: Use of the thoracic aorta for renal arterial reconstruction.
    Author: Novick AC, Stewart R, Hodge EE, Goldfarb D.
    Journal: J Vasc Surg; 1994 Apr; 19(4):605-9. PubMed ID: 8164274.
    Abstract:
    PURPOSE: Thoracic aortorenal bypass is a new technique for surgical renal revascularization in patients with severe atherosclerosis of the abdominal aorta. In such cases, the thoracic aorta is often free of disease. METHODS: From 1989 to 1992, thoracic aortorenal bypass was performed in 23 patients with hypertension, abdominal aortic atherosclerosis, and celiac artery stenosis; in 21 patients, renal artery stenosis was present bilaterally or in a solitary kidney. RESULTS: There was one operative death. Among the remaining 22 patients, hypertension was cured or improved after operation in 19 (86%), and renal function was improved or stable in 21 (95%). CONCLUSIONS: Thoracic aortorenal bypass has several advantages and is a useful alternative to abdominal aortic replacement in selected older patients who require renal arterial reconstruction.
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