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January 1, 1970Scandinavian Journal of Urology and Nephrology

Renal Artery Stenosis and Hypertension: II. Mortality in Operated Patients Compared with the Mortality in Individually Matched Medically Treated Patients with Cryptogenetic Hypertension

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Key result

Operation for renal artery stenosis resulted in 18.75% mortality (12 deaths), showing no long-term difference compared to medical treatment to counterbalance immediate postoperative deaths.

Authors

HKH KjellboSahlgrenska University HospitalNLNatalie LundUniversität HamburgSBS.‐E. BergentzMalmö University

Discussion

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Implication

Renal artery stenosis surgery carries high perioperative mortality without long-term survival gain over medical therapy; leaves open whether contemporary techniques benefit selected patients.

Study Design

Type

Cohort (n=128)

PICO

P
Population
128 patients (64 operated for renal artery stenosis and 64 matched medically treated patients with essential hypertension) followed for 1 to 10 years.
E
Exposure / Comparator
Operation for renal artery stenosis vs Medical treatment
O
Primary Outcome
Mortality

Limitations

  • Demonstrable atherosclerosis implies a higher risk for occlusive vascular disease in other areas, irrespective of the careful matching procedure.

Cite This Study

Kjellbo et al. (1970) conducted a cohort in Renal artery stenosis and hypertension (n=128). Operation for renal artery stenosis vs. Medical treatment was evaluated on Mortality. Operation for renal artery stenosis resulted in 18.75% mortality (12 deaths), showing no long-term difference compared to medical treatment to counterbalance immediate postoperative deaths.

synapsesocial.com/papers/6a9e4e5e67d34f09a3f9b214https://doi.org/10.3109/00365597009136227

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Evaluation of Treatment of Hypertension Associated with Occlusive Renal Arterial Disease1963 · 66 citations
  2. 2Renal Artery Stenosis: III. Follow-up Observations in Operated and Non-operated Patients1970 · 7 citations
  3. 3Hypertension and Renal Artery Stenosis1966 · 11 citations
  4. 4Unilateral Nephrectomy in Hypertensive Disease1956 · 217 citations
  5. 5Renal Artery Stenosis and Hypertension: 1. Surgical Treatment1969 · 8 citations