Extra-anatomical bypass procedure in the surgical treatment of renovascular disease

Original article


Mohamed Mansouri1and Jacek Szmidt2

1) Department of Surgery, Faculty of Medicine, Garyounis University, Benghazi, Libya; 2) Department of Vascular Surgery and Transplantology, Medical Academy, Warsaw, Poland

JMJ Vol.4 No. 3 (Winter) 2005: 192-196


Drug therapy may control blood pressure in some cases of renovascular hypertension (RVH), but ineffective in others. Early interventional therapy is highly recommended since atherosclerosis and certain types of fibromuscular dysplastic diseases are progressive in nature. Percutaneous angioplasty (PTA) with the use of elastic component stents is proved to be effective in the treatment, restenosis and technical failure are still considered. The surgical treatment of renovascular disease (RVD) is needed to normalize or improve renal function in addition to the treatment of RVH. In some patients the standard procedure (aortorenal bypass) can not be performed or its performance is carrying a risk of dangerous events. Alternative procedures are required to overcome the technical difficulties and the risk of operation. Hepatic or splenic circulation is the best inflow sources. In the current study the aim was to evaluate the extra-anatomical procedures as alternatives to aortorenal revascularization.

Keywords: Atherosclerosis, kidney diseases, Renovasular hypertension, Arteries, Reconstruction

Link/DOI: http://www.jmj.org.ly/modules.php?name=News&file=article&sid=43