Successful bilateral transaortic renal endarterectomy after failed renal artery angioplasty and stenting: a case report.

Pak, Laura K; Kerlan, Robert K; Mully, Thaddeus W; Messina, Louis M · J Vasc Surg · 2002

case_report · Level V

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Abstract

Restenosis after renal angioplasty and stenting is usually treated with repeat angioplasty or surgery. Because development of substantial postangioplasty periarterial fibrosis is thought to preclude transaortic endarterectomy, renal artery bypass grafting has been the operation of choice in this setting. This report describes successful bilateral transaortic renal thromboendarterectomy undertaken for the treatment of restenosis after percutaneous angioplasty and stenting for renovascular hypertension caused by bilateral renal artery nonostial stenosis.

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