Renal revascularization with polytetrafluoroethylene grafts

Ten patients have undergone renal vascular reconstruction with an aortorenal bypass using a polytetrafluoroethylene (PTFE) graft. These operations were indicated as treatment for renovascular hypertension in 9 patients and for renal allotransplantation in 1. Vascular reconstruction was technically successful in all patients with no perioperative complications. Blood pressure control was improved in all patients, and in all those with renal insufficiency preoperatively, renal function was improved or stabilized. Renal revascularization with PTFE grafts has yielded excellent results and offers acceptable surgical management for renovascular disease in selected patients.