Renal Artery Stenosis: When to Revascularize in 2017

Atherosclerotic renal artery stenosis is the leading cause of secondary hypertension; it can also cause progressive renal insufficiency and cardiovascular complications such as refractory heart failure and flash pulmonary edema. Medical therapy including risk factor modification, renin-angiotensin-aldosterone system antagonists, lipid lowering agents and antiplatelet therapy is the first line of treatment in all patients. Patients with uncontrolled renovascular hypertension despite optimal medical therapy, ischemic nephropathy and cardiac destabilization syndromes who have severe renal artery stenosis are likely to benefit from renal artery revascularization.

Source: Current Problems in Cardiology - January 19, 2017 Category: Cardiology Authors: Jose D. Tafur, Christopher J. White Source Type: research