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Original Contributions |

Surgery for Renovascular Hypertension: Title and subTitle BreakAnalysis of 67 Cases

Joseph J. Kaufman, MD; Morton H. Maxwell, MD
[+] Author Affiliations

Reprint requests to 10837 Le Conte Ave, Los Angeles 90024 (Dr. Kaufman).


Los Angeles

From the Division of Urology of the Department of Surgery (Dr. Kaufman) and the Department of Medicine (Dr. Maxwell), University of California Los Angeles School of Medicine.


JAMA. 1964;190(8):709-714. doi:10.1001/jama.1964.03070210015002
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In this study, 67 cases of renovascular hypertension were followed from one to six years after vascular repair or nephrectomy. Twenty-five patients became normotensive and another 30 patients showed significant improvement. There were 18 failures and three deaths in this series. The results obtained in this series were compared with those obtained from other centers and have been analyzed in regard to the percentage of cases treated by nephrectomy versus those treated by arterial reconstruction procedures. The data indicate certain pitfalls in the preoperative diagnosis of renovascular hypertension, employing the currently available tests of radiorenography, intravenous urography, and divided kidney studies.

REFERENCES

Maxwell, M.H., and Kaufman, J.J.:  Renovascular Hypertension: Clinical Characteristics and Diagnostic Tests , in Kaufman, J.J.: Advances in Diagnostic Urology , Boston: Little, Brown & Co., 1964;.
Maxwell, M.H.:  Reversible Renal Hypertension: Clinical Characteristics and Predictive Tests , Amer J Cardiol 9:126 ( (Jan) ) 1962;.
Maxwell, M.H., and Prozan, G.B.:  Renovascular Hypertension , Progr Cardiov Dis 5:81-117 ( (July) ) 1962;.
Kaufman, J.J.; Schanche, A.F.; and Maxwell, M.H.:  Excretory Urography in Diagnosis of Renovascular Hypertension: Methods of Enhancing Its Value , J Urol 89:498-505 ( (March) ) 1963;.
Maxwell, M.H., et al:  Use of Rapid-Sequence Intravenous Pyelogram in Diagnosis of Renovascular Hypertension , New Eng J Med 270:213-220 ( (Jan 30) ) 1964;.
Kaufman, J.J.; Hanafee, W.; and Maxwell, M.H.:  Upright Renal Arteriography in Study of Renal Hypertension , JAMA 187:977-980 ( (March 28) ) 1964;.
Eyler, W.R., et al:  Angiography of Renal Areas Including Comparative Study of Renal Arterial Stenosis in Patients With and Without Hypertension , Radiology 78: 879-892 ( (June) ) 1962;.
Howard, J.E., and Connor, T.B.:  Use of Differential Renal Function Studies in Diagnosis of Renovascular Hypertension , Amer J Surg 107:58 ( (Jan) ) 1964;.
Morris, G.C., et al:  Experience With 200 Renal Artery Reconstructive Procedures for Hypertension or Renal Failure , Circulation 27:346 ( (March) ) 1963;.
Poutasse, E.F.:  Surgical Treatment of Renal Hypertension , Amer J Surg 107:97 ( (Jan) ) 1964;.
Bernatz, P.E.; Hunt, J.C.; and Harrison, E.G.:  Idiopathic Fibrous and Fibromuscular Stenoses of Renal Artery , Arch Surg 85:608 ( (Oct) ) 1962;.
Poutasse, E.F.:  Partial Nephrectomy: New Techniques, Approach, Operative Indications, and Review of 51 Cases , J Urol 88:153 ( (Aug) ) 1962;.
Poutasse, E.F.:  Diagnosis and Treatment of Occlusive Renal Artery Disease and Hypertension , JAMA 178:1078 ( (Dec 16) ) 1961;.
Dustan, H.P., et al:  Evaluation of Treatment of Hypertension Associated With Occlusive Renal Arterial Disease , Circulation 27:1018 ( (June) ) 1963;.
Stewart, B.H., et al:  Renal Hypertension , Arch Surg 85:617 ( (Oct) ) 1962;
DeCamp, P.: Panel Discussion: Surgical Treatment of Renovascular Hypertension , American College of Surgeons Meeting, San Francisco, Calif, (Oct 26) -29, 1963;.
Baker, G.P.; Page, L.B.; and Leadbetter, G.W., Jr.:  Hypertension and Renovascular Disease: Follow-Up Study of 23 Patients With Analysis of Factors Influencing Results of Surgery , New Eng J Med 267:1325 ( (Dec 27) ) 1962;.
Smithwick, R.H., et al:  Surgical Management of Renal Hypertension , Amer J Surg 107:104 ( (Jan) ) 1964;.

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Maxwell, M.H., and Kaufman, J.J.:  Renovascular Hypertension: Clinical Characteristics and Diagnostic Tests , in Kaufman, J.J.: Advances in Diagnostic Urology , Boston: Little, Brown & Co., 1964;.
Maxwell, M.H.:  Reversible Renal Hypertension: Clinical Characteristics and Predictive Tests , Amer J Cardiol 9:126 ( (Jan) ) 1962;.
Maxwell, M.H., and Prozan, G.B.:  Renovascular Hypertension , Progr Cardiov Dis 5:81-117 ( (July) ) 1962;.
Kaufman, J.J.; Schanche, A.F.; and Maxwell, M.H.:  Excretory Urography in Diagnosis of Renovascular Hypertension: Methods of Enhancing Its Value , J Urol 89:498-505 ( (March) ) 1963;.
Maxwell, M.H., et al:  Use of Rapid-Sequence Intravenous Pyelogram in Diagnosis of Renovascular Hypertension , New Eng J Med 270:213-220 ( (Jan 30) ) 1964;.
Kaufman, J.J.; Hanafee, W.; and Maxwell, M.H.:  Upright Renal Arteriography in Study of Renal Hypertension , JAMA 187:977-980 ( (March 28) ) 1964;.
Eyler, W.R., et al:  Angiography of Renal Areas Including Comparative Study of Renal Arterial Stenosis in Patients With and Without Hypertension , Radiology 78: 879-892 ( (June) ) 1962;.
Howard, J.E., and Connor, T.B.:  Use of Differential Renal Function Studies in Diagnosis of Renovascular Hypertension , Amer J Surg 107:58 ( (Jan) ) 1964;.
Morris, G.C., et al:  Experience With 200 Renal Artery Reconstructive Procedures for Hypertension or Renal Failure , Circulation 27:346 ( (March) ) 1963;.
Poutasse, E.F.:  Surgical Treatment of Renal Hypertension , Amer J Surg 107:97 ( (Jan) ) 1964;.
Bernatz, P.E.; Hunt, J.C.; and Harrison, E.G.:  Idiopathic Fibrous and Fibromuscular Stenoses of Renal Artery , Arch Surg 85:608 ( (Oct) ) 1962;.
Poutasse, E.F.:  Partial Nephrectomy: New Techniques, Approach, Operative Indications, and Review of 51 Cases , J Urol 88:153 ( (Aug) ) 1962;.
Poutasse, E.F.:  Diagnosis and Treatment of Occlusive Renal Artery Disease and Hypertension , JAMA 178:1078 ( (Dec 16) ) 1961;.
Dustan, H.P., et al:  Evaluation of Treatment of Hypertension Associated With Occlusive Renal Arterial Disease , Circulation 27:1018 ( (June) ) 1963;.
Stewart, B.H., et al:  Renal Hypertension , Arch Surg 85:617 ( (Oct) ) 1962;
DeCamp, P.: Panel Discussion: Surgical Treatment of Renovascular Hypertension , American College of Surgeons Meeting, San Francisco, Calif, (Oct 26) -29, 1963;.
Baker, G.P.; Page, L.B.; and Leadbetter, G.W., Jr.:  Hypertension and Renovascular Disease: Follow-Up Study of 23 Patients With Analysis of Factors Influencing Results of Surgery , New Eng J Med 267:1325 ( (Dec 27) ) 1962;.
Smithwick, R.H., et al:  Surgical Management of Renal Hypertension , Amer J Surg 107:104 ( (Jan) ) 1964;.
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