Figure 340

Comorbidity in patients undergoing renovascular surgery. Patients presenting for renovascular surgery or endovascular renal revascu-larization are at high-risk for complications during intervention because of age, and frequently associated coronary, cerebrovascular, or peripheral vascular disease. As the population ages, the percentage of patients being considered for interventive maneuvers on the renal artery has increased significantly. Approximately 30% of patients currently undergoing interventive approaches to renal artery disease have angina, or have had a previous myocardial infarction. Congestive heart failure, cerebrovascular disease (eg, carotid artery stenosis), diabetes mellitus, and claudication are frequent comorbid conditions in these patients. Their aortas are often laden with extensive atherosclerotic plaque (Fig. 3-33), making angiographic investigation or endovascular renal revascularization hazardous. (Adapted from Hallet and coworkers [17]; with permission.)

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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