[Procedural characteristics of the surgical treatment of arterial hypertension in bilateral vascular and combined kidney lesions]. / Osobennosti taktiki khirugicheskogo lecheniia arterial'noi gipertenzii pri dvustoronnikh sosudistykh i sochetannykh porazheniiakh pochek.

Advantages of stepwise surgical correction are illustrated by a review of late results of surgical treatment for arterial hypertension due to bilateral vascular lesions or heterolateral combinations of vascular and parenchymatous renal disorders. The procedure yields better results, so that repeated surgery on the contralateral side may be avoided or postponed until the next relapse of hypertension in some patients. The timing of the contralateral operation in the context of stepwise treatment depends on hypotensive effect of the first correction that is conditioned by the state of terminal arterial bed, and the interstitium of both kidneys.