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Relationship of Intrinsic Renal Pathology to Efficacy of Surgery for Renovascular Hypertension.

Diane W. Crocker, M.D.; Ezra A. Amsterdam, M.D.; A. Richard Christlieb, M.D.; Roger B. Hickler, M.D., F.A.C.P.; and Gustave J. Dammin, M.D.
Ann Intern Med. 1968;68(5):1153. doi:10.7326/0003-4819-68-5-1153_2
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The long-term postoperative effect of surgery on the hypertension of 29 patients with renal artery stenosis has been determined and correlated with the renal pathology. In 20 patients bilateral and in 9 patients ipsilateral (stenotic side) open biospies were obtained. Average duration of postoperative follow-up was 19 months. A successful result was obtained in 14 patients, defined as attainment of a blood pressure of 140/90 mm Hg or less, or a decrease in mean pressure of 20 mm Hg or more (on no therapy or less than preoperatively). Type of surgery (nephrectomy or vascular repair) was not a factor in


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