Description

McLaughlin et al listed indications for performing a revascularization procedure in a patient with renal artery stenosis. The authors are from the University of Calgary, Western Infimary (Glasgow) and Gartnavel General Hospital (Glasgow).


 

Patient selection: documented renal artery stenosis

 

Indications for a revascularization procedure:

(1) hypertension resistant to medical management

(2) deteriorating renal function

(3) critical stenosis of a single functioning kidney

(4) fibromuscular dysplasia

(5) concomitant heart failure, including flash pulmonary edema (cardiorenal syndrome)

Type of Stenosis

Recommended Procedure

atherosclerotic plaque in the aorta obstructing the ostium of the renal artery

angioplasty plus stent

non-ostial

angioplasty

failure of other procedures

surgical bypass

 


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