Archives of the Turkish Society of Cardiology
Renal artery stenosis: diagnosis and treatment [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2006; 34(7): 447-456

Renal artery stenosis: diagnosis and treatment

Abdullah Doğan, Yasin Türker
Süleyman Demirel University Faculty of Medicine, Department of Cardiology, Isparta, Turkey

Renal artery stenosis (RAS) leads to hypertension and renal dysfunction. The most common causes of RAS are fibromuscular dysplasia at younger ages, and atherosclerosis after 55 years of age. Coronary artery and lower extremity vascular diseases are frequently associated with atherosclerotic RAS. Flash pulmonary edema, deterioration in blood pressure control and renal function point to RAS. Duplex ultrasonography enables diagnosis without difficulty. Treatment consists of medical therapy and percutaneous or surgical revascularization. In the presence of refractory hypertension and/or renal dysfunction, mechanical revascularization is recommended. Percutaneous method is preferred to surgery due to high success and low complication rates. Revascularization therapy improves blood pressure control, renal function, and survival.

Keywords: Hypertension, renovascular/etiology, renal artery obstruction/diagnosis/therapy

How to cite this article
Abdullah Doğan, Yasin Türker. Renal artery stenosis: diagnosis and treatment. Turk Kardiyol Dern Ars. 2006; 34(7): 447-456

Corresponding Author: Abdullah Doğan, Türkiye
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