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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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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