Hypertension--Pathophysiology of Renal Artery Stenosis: Clinical Experimental Investigations

Kivelitz, Hans; Meyer, Wolfgang; Koehler, Joseph; Kremer, Karl
June 1978
Angiology;Jun1978, Vol. 29 Issue 6, p442
Academic Journal
This article reports that the aim of the correction of renal arterial stenosis is the reduction in the body arterial blood pressure. However, only in few cases is the goal reached. Therefore the effect of renal artery stenosis on the hemodynamics of the affected kidney calls for a general reassessment. There are some points which play a part in the clinical picture, treatment and prognosis of renal artery stenosis. First is the local hemodynamic changes resulting from the stenosis. Second is the reflex increase in the peripheral capillary resistance resulting from the stenosis and third is the organic increase in peripheral resistance, which is independent from the stenosis as well as from the above-mentioned results.


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