Treatment of hypertension associated with renal arterial occlusive disease

Renal artery stenosis is a common cause of diastolic hypertension. Recent development of arterial reconstructive technics provides the opportunity to cure most patients with renovascular hypertension and to salvage the involved kidney or kidneys.

Resectional therapy provides a second type of treatment when definitive arterial reconstruction is impossible.

Patch graft angioplasty and renal artery bypass are the two most satisfactory technical means of renal revascularization.

Selection of patients with renal artery stenosis for revascularization is primarily a matter of exclusion. Specific contraindications include cerebrovascular insufficiency and coronary artery disease. Eighty per cent of 140 patients having renal revascularization procedures were cured of hypertension.