The Role of Nephrectomy of the Atrophic Kidney in Bearers of
Renovascular Hypertension
Myrian J. Thomaz, Antonio M. Lucon, Jose N. Praxedes, Luis A. Bortolotto, Miguel Srougi
Department of Urology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil
ABSTRACT
Purpose:(YDOXDWLRQRIWKHEHQH¿FLDOHIIHFWRIQHSKUHFWRP\RIWKHDWURSKLFNLGQH\RQEORRGSUHVVXUH%3DQGUHQDO
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Materials and Methods: $UHWURVSHFWLYHVWXG\RISDWLHQWVZLWKUHQRYDVFXODUK\SHUWHQVLRQ59+EHDUHUVRIDWURSKLF
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Results:7KHUHZDVDVLJQL¿FDQWLPSURYHPHQWLQWKHDYHUDJH6%3LQWKHSHULRGVIURPWRPRQWKVSDQGIRU
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Conclusion:7KHUHPRYDORIDWURSKLFNLGQH\LQSDWLHQWVZLWK59+LVDVDIHSURFHGXUHZKLFKSUHVHQWVEHQH¿WVIRUWKH
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Key words: nephrectomy; atrophic; kidney renovascular; hypertension
Int Braz J Urol. 2010; 36: 159-70
INTRODUCTION
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HOGHUO\GLDEHWLFVDQGEHDUHUVRIV\VWHPLFDWKHURVFOH-doi: 10.1590/S1677-55382010000200005
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MATERIALS AND METHODS
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Table 1 – General data of the 51 patients with renovascular hypertension who underwent nephrectomy.
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Table 2 – Averages of the systolic blood pressures from the pre-operative period until 60 months pos-nephrectomy.
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Table 4 – Differences in systolic and diastolic pressures as between the pre-operative period and each of the instants as-sessed in patients with RVH (in mm Hg).
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Figure 2 – Variation of SBP of each patient 12m after nephrectomy (n = 49). Ɣreduction , Ÿsame and Ŷincreased number of hypo-tensors.
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Table 5 – Characteristics of the patients with renovascular hypertension, in accordance with the pressure response to nephrectomy.
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Figure 4 – Patients with improved creatinine clearance (n = 30).
Table 6 – Characteristics of the patients in accordance with the response of their renal function to nephrectomy.
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Accepted after revision: October 18, 2009
Correspondence address: 'U0\ULDQ-7KRPD] 'HSDUWPHQWRI8URORJ\
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