Clinical Aspects of Renovascular Hypertension

Diagnostic and therapeutic methods and controversies in the management of renovascular hypertension have undergone major ch- ges during the past few years. This book is based on the proceedings of a successful postgraduate Boerhaave Course held in 1982 at the Faculty of Medicine of the University of Leiden, The Netherlands. Current concepts concerning the diagnosis and treatment of reno­ vascular hypertension were presented during this course to an audience composed of physicians, nephrologists, cardiologists, surgeons, uro­ logists, and radiologists. Thus, this book aims at offering an overview of tho,se aspects of renovascular hypertension which are relevant to clinical pr- tice. An effort is made to review the currently available moda­ lities of diagnostic procedures, both on the basis of modern in­ sights in the pathology and pathophysiology of renovascular hyper­ tension, as well as timely r'esul ts of clinical research. In ad­ dition, several chapters deal with combinations of these di- nostic procedures in a fashion that can be of practical help in clin;cal decision making. The medical, surgical and angioplastic modalities of treatment are reviewed. Basic considerations concerning medical treatment and technical aspects of surgical as well as per­ cutaneous angioplasty are presented in detail, both separately and in combination. Special attention is given to the problem of renal artery stenosjs in k~dney transplants. This book offers up to date information on clinical aspects of renovascular hypertension, useful to a wide range of clinicians in a variety of disciplines.

Inhalt

1. Renovascular hypertension: Definitions, incidence and clinical aspects.- 2. The pathology of reno-vascular hypertension.- 3. Renovascular hypertension: Aspects of pathophysiology.- 4. Radiodiagnostic investigations for renovascular hypertension.- 5. Digital subtraction, angiography in the evaluation of hypertension.- 6. Functional diagnosis of renovascular hypertension, with special reference to renin measurements.- 7. Application of diagnostic procedures in patient management.- 8. General aspects of medical treatment. A review.- 9. Captopril in the treatment of hypertension with renal artery stenosis.- 10. Renovascular hypertension: Basis for anatomical reconstruction.- 11. In situ and extracorporeal reconstruction: Technical aspects of surgical therapy for renovascular hypertension.- 12. Clinical results of surgical therapy for renovascular hypertension.- 13. Renovascular hypertension: Combined surgical procedures.- 14. Renal artery stenosis in kidney transplantation.- 15. Technical aspects of transluminal angioplasty in renal arteries.- 16. Follow-up study of 70 patients with renal artery stenosis treated by percutaneous transluminal dilatation.- 17. Treatment of renal vascular hypertension: A comparison of patients treated by surgery or by percutaneous transluminal angioplasty.- 18. Renovascular hypertension: The medical point of view.- 19. Renovascular hypertension: The surgical point of view.- Index of Subjects.