Open Surgical Revascularization for Renal Artery Atherosclerosis

In renal artery atherosclerosis, some clinical situations call for an open surgical approach to restore blood flow to the kidney. This protocol addresses those cases where a surgical intervention is the indicated management pathway.

When this protocol applies Surgical revascularization is considered in specific anatomical or clinical circumstances — including complex vascular anatomy, concurrent aortic pathology requiring open repair, or prior percutaneous interventions that did not achieve adequate results.

Approach The treatment involves open surgical revascularization of the renal artery. The precise technique, operative planning, and perioperative management depend on the patient's specific anatomy and clinical history — the full structured protocol outlines the complete approach.

Full regimen details, sequencing, and criteria are in the protocol →

Instant Access to Structured Evidence-Based Regimens

References

As a result, surgical revascularization is generally reserved for patients who are not suitable for renal artery angioplasty or stent placement as a result of complex anatomy (eg, "coral reef" aorta), those with concurrent abdominal aortic aneurysms undergoing planned open repair, or some patients with recurrent stenosis after percutaneous interventions.

DOI: 10.1053/j.ajkd.2021.06.025

View source ↗