[Skip to Content]
[Skip to Content Landing]
June 1973

Transaortic EndarterectomyTreatment of Arteriosclerotic Lesions of the Renal Arteries

Author Affiliations

Davis, Calif; Albuquerque, NM; Cleveland
From the Department of Urology, University of California, Davis, School of Medicine (Dr. Sullivan); the Department of Surgery, University of New Mexico School of Medicine and the Veterans Administration Hospital Albuquerque, NM (Dr. Blakeley); and the Department of Urology, Cleveland Clinic Foundation.

Arch Surg. 1973;106(6):873-876. doi:10.1001/archsurg.1973.01350180105031

The most commonly employed procedures for the treatment of main renal artery stenosis are aortorenal bypass, with autogenous or synthetic material, and transrenal endarterectomy.

Our recent experience with the technique of renal endarterectomy through a longitudinal aortotomy has shown it to be an acceptable alternative in the treatment of arteriosclerotic lesions of the renal artery. The fact that renal arteriosclerotic stenosis is generally not an isolated lesion, but rather an extension of aortic arteriosclerosis, produces advantages for this technique over bypass grafting and over endarterectomy through a renal arteriotomy.