What is the role of surgical revascularization in the treatment of renovascular hypertension (RVHT)?

Updated: Dec 01, 2020
  • Author: Rebecca J Schmidt, DO, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

The goal of surgical revascularization is correction of RVHT with preservation of kidney function. However, in older patients with widespread atherosclerotic disease, surgical revascularization poses considerable morbidity and mortality risk; complications include the release of cholesterol emboli during the operation. Consequently, it is reserved primarily for individuals with associated aortic surgical disease and/or failed endovascular repair. [52]  In patients with FMD, the cure rate is as high as 80%, and morbidity is low; however, these results are not significantly better than what can be achieved by means of PTRA with less morbidity, mortality, cost, and inconvenience. [53]


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