Abstract:No single method provides optimal open operative repair for every type of renovascular disease. Aortorenal bypass is the most versatile technique; however transaortic thromboendarterectomy is especially useful for orificial atherosclerosis that involves multiple renal arteries. Regardless of the method of repair, intraoperative assessment with duplex sonography ensures flawless reconstruction, contributing to 96% primary patency at 5-years followup. When applied to our 500 consecutive, hypertensive adults, 85%… Show more
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