Medical Hypotheses
Volume 56, Issue 2 , Pages 129-133 , February 2001

A possible explanation for the frequent concomitance of arterial hypertension and multiple renal arteries

  • B. Glodny

      Affiliations

    • Institute of Pharmaceutical Biology and Phytochemistry Westfälische Wilhelms-University of Münster, Münster, Germany
    • ,
  • S. Cromme

      Affiliations

    • (General, Department of Surgery Thoracic and Visceral Surgery), Herford Klinikum, Herford, Germany
    • ,
  • K. Wörtler

      Affiliations

    • Department of Clinical Radiology Westfälische Wilhelms-University of Münster, Münster, Germany
    • ,
  • G. Winde

      Affiliations

    • (General, Department of Surgery Thoracic and Visceral Surgery), Herford Klinikum, Herford, Germany

Received 4 May 2000 ,Accepted 5 September 2000.

References 

    REFERENCES
  1. Edsman G. Angionephrography and suprarenal angiography. Acta Radiol. 1957;155:5–141
  2. Graves FT. The aberrant renal artery (synopsis). Proc Roy Soc Med. 1957;50:368–370
  3. Fox M, Yalin R. Renal transplantation with multiple arteries. Br J Urol. 1979;51:333–336
  4. Alfidi RJ, Tarar R, Fosmoe RJ, Ferrario C, Boltuch RL, Gifford RW. Jr Renal–splanchnic steal and Hypertension. Radiology. 1972;102:545–549
  5. Brecht TH, Schirmer G. Multiple Nierenarterien bei Normo-und Hypertonikern. Therapiewoche. 1974;24:1560–1566
  6. Marshall AG. Aberrant renal arteries and hypertension. Lancet. 1951;2:701–705
  7. Brown JJ, Owen K, Peart WS, Robertson JIS, Sutton D. The assessment and treatment of hypertension. Lancet. 1962;2:832–833
  8. Derrick JR, Tyson KRT. Association of aberrant renal arteries and systemic Hypertension. Surgery. 1960;48:907
  9. Robertson PW, Klidijan A, Hull DH, Hilton DD, Dyson ML. The assessment and treatment of hypertension. Lancet. 1962;2:567
  10. Peter L. Multiplizität der Nierenarterien bei sogenannter essentieller Hypertonie. Virchow’s Arch Path Anat. 1964;337:452–458
  11. Davies ER, Sutton D. Hypertension and multiple renal arteries. Am Heart J. 1966;71:285–286
  12. Robertson PW, Hull DH, Klidjian A, Dyson ML. Renal artery anomalies and hypertension. A study of 340 patients Am Heart J. 1967;73:296–307
  13. Nomura G, Kurosaki M, Kondo T, Takeuchi J. Essential hypertension and multiple renal arteries. Am Heart Journal. 1972;81:274–280
  14. Bönner G, Dreesbach H, Helber A, Kaufmann W. Hypertonus und multiple Nierenarterien. Dtsch Med Wochenschr. 1978;103:345–349
  15. Geyer JR, Poutasse EF. Incidence of multiple renal arteries on aortography. Report of a series of 400 patients, 381 of whom had arterial hypertension. J Am Med Ass. 1962;182:120–125
  16. Boijsen E. Angiographic studies of the anatomy of single and multiple renal arteries. Acta Radiol. 1959;183:1–134
  17. Arch Int Med. 1993;153:186–208
  18. MacMahon S, Peto R, Cutler J. Blood pressure, stroke and coronary heart disease, part I: effects of prolonged differences in blood pressure-evidence from nine prospective observational studies corrected for the regression dilution bias. Lancet. 1990;335:765–774
  19. Collins R, Peto R, MacMahon S. Blood pressure, stroke and coronary heart disease. II. effects of short-term reductions in blood pressure–an overview of the unconfounded randomised drug trials in an epidemiological context. Lancet. 1990;335:827–838
  20. Tobian L, Tomboulian A, Janecek J. Effect of high perfusion pressure on the granulation of juxtaglomerular cells in an isolated kidney. J Clin Invest. 1959;38:605–610
  21. Györi E. Arteriosklerotische Stenose in Nierenarterien besonders bei Arterienverdopplung und ihre Beziehungen zur Hypertonie. Beitr Path Anat. 1952;112:187
  22. Glodny B, Cromme S, Winde G, Wittwer S, Reimer P, Vetter H. Frequent occurrence of renal artery stenoses in patients with multiple renal arteries. J Hypertens. 1999;17:40
  23. Postma CT, Joosten FB, Rosenbusch G, Thien T. Magnetic resonance angiography has a high reliability in the detection of renal artery stenosis. Am J Hypertens. 1997;10:957–963
  24. Kaatee R, Beek FJ, de Lange EE. Renal artery stenosis: detection and quantification with spiral CT angiography versus optimized digital subtraction angiography. Radiology. 1997;205:121–127
  25. Grim CE, Weinberger MH, Higgins JT, Kramer NJ. Diagnosis of secondary forms of hypertension: a comprehensive protocol. JAMA. 1977;; 1331–1335
  26. Brunner HR, Laragh JH, Baer L. Essential hypertension: renin and aldosterone, heart attack and stroke. N Engl J Med. 1972;286:441–449
  27. Cromme S, Glodny B, Winde G, Reimer P, Vetter H. Multiple renal arteries cause hypertension in man. Hypertension. 1999;33:S1072
  28. J Hypertension. 1998;6:S21–S27

PII: S0306-9877(00)91206-4

doi: 10.1054/mehy.2000.1206

Medical Hypotheses
Volume 56, Issue 2 , Pages 129-133 , February 2001

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