Abstract

The open procedures most commonly performed to treat renovascular disease are aortorenal bypass, renal artery thromboendarterectomy, and renal artery reimplantation. This review discusses preoperative evaluation, operative planning, and the operative technique of the aforementioned procedures. In addition, outcome evaluation is described, including hypertension response, renal function response, and the relationship of these to dialysis-free survival. A table provides the recommended principles for contemporary surgical management of renovascular disease. Figures show various types of bypass procedures. This review contains 10 references plus additional sources of recommended reading.

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