Karkirurgisk behandling hos patienter med påvirket nyrefunktion

M K Hensler, M Forrest, Jørgen Ewald Lorentzen, T V Schroeder

    Abstract

    The purpose of the study was to evaluate the effect of surgery for renal artery stenosis in patients with impaired renal function. The design was a retrospective investigation with follow-up. The material consisted of 42 such patients operated at Rigshospitalet between 1980 and 1990. Renal function and blood pressure status was evaluated preoperatively and at follow-up. The perioperative mortality was 5% (n = 2) and morbidity 21% (n = 9). At discharge from hospital renal function was maintained in 38 patients (90%), including three patients who at the time of operation were without diuresis and had been in dialysis for up to 28 days. Twenty-three patients were still alive at postoperative follow-up at a median of 66 months. The cumulative five-year survival was 62%, which was significantly lower than that of a sex- and age-matched population. Eleven patients developed terminal renal insufficiency during the follow-up period. The cumulative preservation of renal function was 77% after five years. In conclusion, reconstruction of the renal arteries in patients with declining renal function and renal artery stenosis or occlusion can save renal function such that dialysis may be avoided in most cases.

    Bidragets oversatte titelVascular surgery in patients with impaired renal function
    OriginalsprogDansk
    TidsskriftUgeskrift for Laeger
    Vol/bind156
    Udgave nummer47
    Sider (fra-til)7043-7
    Antal sider5
    ISSN0041-5782
    StatusUdgivet - 21 nov. 1994

    Emneord

    • Adult
    • Aged
    • Female
    • Follow-Up Studies
    • Humans
    • Kidney
    • Kidney Failure, Chronic
    • Male
    • Middle Aged
    • Postoperative Complications
    • Renal Artery Obstruction
    • Retrospective Studies

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