May 1964

Bilateral Simultaneous Renal Endarterectomy

Author Affiliations

From the departments of surgery, medicine and urology, Northwestern University Medical School, the Chicago Wesley Memorial Hospital and the Veterans Administration Research Hospital.

Arch Surg. 1964;88(5):818-824. doi:10.1001/archsurg.1964.01310230094020

Reminiscent of Goldblatt's monumental studies of 30 years ago, there is today a growing awareness of the clinical importance of renal artery narrowing as a cause of renal ischemia leading to hypertension and at times renal failure. It is fortunate that hypertension resulting from renal artery stenosis is often surgically correctable, the majority of cases responding to renal revascularization or nephrectomy.

Renal artery stenosis is usually unilateral, but in a significant number of patients bilateral stenosis is found. The present series of six individuals with bilateral lesions was derived from a total of 24 patients undergoing renal artery reconstruction for renovascular hypertension. This incidence of 25% correlates well with published reports of other investigators performing renal revascularization.3 These six patients underwent bilateral renal revascularization as a single-stage operation. All had bilateral renal endarterectomy as the reconstructive procedure of choice.

Material and Methods  Six patients with hypertension secondary to bilateral

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