Renal failure limiting antihypertensive therapy as an indication for renal revascularization. A case report.
Arch Intern Med
; 143(11): 2208-11, 1983 Nov.
Article
em En
| MEDLINE
| ID: mdl-6639247
ABSTRACT
Although surgical repair of renal artery stenosis occasionally improves renal function, it is not yet known when revascularization is indicated for that reason. We report the results observed in a patient with renovascular hypertension and additional stenosis in the contralateral kidney whose renal function deteriorated on repeated occasions during antihypertensive therapy. Renal hemodynamic studies during sodium nitroprusside infusion showed severely impaired autoregulation of blood flow, and glomerular filtration rate was corrected after revascularization of the contralateral kidney alone. After surgery, normal BPs were tolerated without loss of function. These findings demonstrate a specific clinical indication for renal revascularization to preserve kidney function.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obstrução da Artéria Renal
/
Hipertensão Renovascular
/
Anti-Hipertensivos
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Arch Intern Med
Ano de publicação:
1983
Tipo de documento:
Article