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Do diagnostic tests including peripheral and renal-vein renin predict operative success in patients with renal hypertension?
Do diagnostic tests including peripheral and renal-vein renin predict operative success in patients with renal hypertension?
This paper discusses the value of diagnostic tests, including peripheral and renal-vein renin levels, in predicting surgical success for patients with renal hypertension.
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Renin testing may guide surgical selection in renal hypertension; leaves open need for prospective validation.
EXPERIMENTAL evidence in animals and clinical experience in man show that hypertension may result from renal vascular and parenchymal lesions. Surgery to remove the diseased kidney or to repair the vascular defect often relieves such hypertension. Many tests have been suggested to detect patients who might benefit from operation, but the role of some of these procedures is not yet established. One purpose of this paper is to present information concerning the value of some widely used tests, as well as examinations of peripheral and renal-vein blood for renin, as tools for predicting operative success. Reports of surgical efforts to . . .
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Kirkendall et al. (1967) studied this question.
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