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



failure of other procedures

surgical bypass


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