Background and objective: Our objective was to assess the effect of renal revascularization on renal function and blood pressure control.
Patients and method: Retrospective analysis of primary renal revascularization procedures performed during a 6-year period. Parameters of renal function and blood pressure control were assessed before and after the procedure.
Results: Forty consecutive renal artery revascularizations were performed in 36 patients (12 aorto-renal bypasses and 28 percutaneous transluminal angioplasties, 4 bilateral). At the first month, the renal function improved in 50% cases, but at the mean follow-up it improved only in 26%. At the first month, blood pressure control improved in 50% patients, but at the mean follow-up, it only improved in 28%.
Conclusions: Renal revascularization does not offer a medium-term benefit in most patients.