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Review
. 2011 Jul-Aug;54(1):29-35.
doi: 10.1016/j.pcad.2011.02.007.

Renal artery stenosis: optimizing diagnosis and treatment

William R Colyer  1 , Ehab Eltahawy, Christopher J Cooper
Affiliations
Review

Renal artery stenosis: optimizing diagnosis and treatment

William R Colyer et al. Prog Cardiovasc Dis. 2011 Jul-Aug.

Abstract

Renal artery stenosis (RAS) is the most commonly caused by atherosclerosis, with fibromuscular dysplasia being the most frequent among other less common etiologies. A high index of suspicion based on clinical features is essential for diagnosis. Revascularization strategies are currently a topic of discussion and debate. When revascularization is deemed appropriate, atherosclerotic RAS is most often treated with stent placement, whereas patients with fibromuscular dysplasia are usually treated with balloon angioplasty. Ongoing randomized trials should help to better define the optimal management of RAS.

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Figures

Figure 1
Figure 1
Relationship of age and creatinine with the prevalence of significant RAS. From Cohen et al. Am Heart J 2005;150:1204.
Figure 2
Figure 2
Screening renal computerized tomographic angiography.
Figure 3
Figure 3
Successful renal artery stent placement.
Figure 3
Figure 3
Successful renal artery stent placement.
See this image and copyright information in PMC

References

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