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Article
October 13, 1962

Incidence of Multiple Renal Arteries on Aortography: Report of a Series of 400 Patients, 381 of whom had Arterial Hypertension

Author Affiliations

Cleveland
From the Department of Urology, The Cleveland Clinic Foundation.

JAMA. 1962;182(2):120-125. doi:10.1001/jama.1962.03050410016004
Abstract

The incidence of multiple renal arteries was studied by reviewing the translumbar aortograms of 400 patients, 381 of whom had hypertension. Excluding those few with inadequate aortograms, there were 249 hypertensive patients who had normal renal arteries, and 110 who had occlusive disease or aneurysms of the renal artery. Seventy-five% of the patients with renal artery lesions and 75% of patients with normal renal arteries had 1 renal artery to each kidney. The incidence of multiple renal arteries in these hypertensive patients was 25%, no higher than has been recorded generally in anatomic investigations. Eighty-three (31%) of 269 hypertensive patients with a single renal artery on each side and 27 (31%) of 88 hypertensive patients with multiple renal arteries had occlusive lesions or aneurysms.

References
1.
Arey, L. B.:  Developmental Anatomy , Philadelphia: W. B. Saunders Company, 1946.
2.
Macalister, A.:  Multiple Renal Arteries ,  Proc Roy Irish Acad (Science) 3:624-626, 1877-1883.
3.
Felix, W.:  Development of Urinogenital Organs , in Keibel, F., and Mall, F. P., (Eds.)  Manual of Human Embryology , Philadelphia: J. P. Lippincott Co., 1912, pp. 820-825.
4.
Anson, B. J., et al.:  Anatomy of Pararenal System of Veins, with Comments on Renal Arteries ,  J Urol 60:714-737, 1948.
5.
Anson, B. J., et al.:  Blood Supply of Kidney, Suprarenal Gland and Associated Structures ,  Surg Gynec Obstet 84:313-320, 1947.
6.
Anson, B. J., and Daseler, E. H.:  Common Variations in Renal Anatomy, Affecting Blood Supply, Form, and Topography ,  Surg Gynec Obstet 112:439-449, 1961.
7.
Graves, F. T.:  Anatomy of Intrarenal Arteries and Its Application to Segmental Resection of the Kidney ,  Brit J Surg 42:132-139, 1954.Crossref
8.
Derrick, J. R., and Tyson, K. R. T.:  Association of Aberrant Renal Arteries and Systemic Hypertension ,  Surgery 48:907-912, 1960.
9.
Marshall, A. G.:  Aberrant Renal Arteries and Hypertension ,  Lancet 2:701-705, 1951.Crossref
10.
Poutasse, E. F., and Dustan, H. P.:  Arteriosclerosis and Renal Hypertension; Indications for Aortography in Hypertensive Patients and Results of Surgical Treatment of Obstructive Lesions of Renal Artery ,  JAMA 165:1521-1525 ( (Nov. 23) ) 1957.Crossref
11.
Master, A. M.; Dublin, L. I.; and Marks, H. H.:  Normal Blood Pressure Range and Its Clinical Implications ,  JAMA 143:1464-1470 ( (Aug. 26) ) 1950.Crossref
12.
Poutasse, E. F.:  Diagnosis and Treatment of Occlusive Renal Disease and Hypertension ,  JAMA 178:1078-1083 ( (Dec. 16) ) 1961.Crossref
13.
Merklin, R. J., and Michels, N. A.:  Variant Renal and Suprarenal Blood Supply with Data on Inferior Phrenic, Ureteral and Gonadal Arteries: Statistical Analysis Based on 185 Dissections and Review of Literature ,  J Int Coll Surg 29:41-76, 1958.
14.
Pick, J. W., and Anson, B. J.:  Renal Vascular Pedicle; Anatomical Study of 430 Body-Halves ,  J Urol 44:411-434, 1940.
15.
Derrick, J. R., and Tyson, K. R. T.:  Surgical Significance of Aberrant Renal Arteries in Relation to Systemic Hypertension ,  Circulation 24:1192-1196, 1961.Crossref
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