Document Detail


Renal Artery Stenosis.
MedLine Citation:
PMID:  11096469     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Among the indications for renal artery revascularization, either surgical or endovascular, in patients with renal artery stenosis are poorly controlled hypertension, ischemic nephropathy (preservation of renal function), or recurrent episodes of "flash" pulmonary edema and congestive heart failure. Pharmacologic treatment is the first-line therapy to control blood pressure. If the disease is unilateral, the blood pressure regimen should include an angiotensin-converting enzyme inhibitor. Guidelines published in the Sixth Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of high blood pressure should be followed. Revascularization is recommended if patients have at least 75% stenosis of one or both renal arteries, combined with resistant or poorly controlled hypertension; recurrent flash pulmonary edema; dialysis-dependent renal failure resulting from renal artery stenosis; chronic renal insufficiency and bilateral renal artery stenosis; or renal artery stenosis to a solitary functioning kidney. To treat fibromuscular disease of the renal arteries, percutaneous transluminal angioplasty is the revascularization procedure of choice. Ex vivo surgical repair of the renal artery may be required if there is significant branch renal artery stenosis. To treat atherosclerotic renal artery stenosis, the revascularization procedure of choice is percutaneous transluminal angioplasty and stent implantation, especially if there is concomitant ostial or proximal renal artery disease. Surgical revascularization is performed if concomitant aortic surgery is required, such as for abdominal aortic aneurysm.
Authors:
Begelman; Olin
Related Documents :
11602079 - An evidence-based approach to diagnosing renovascular hypertension.
7331759 - Origin of renal arteries from the aorta.
17990029 - Distal embolic protection for renal arterial interventions.
10893569 - Pheochromocytoma coexisting with renal artery lesions.
15889969 - Renovascular hypertension.
21920339 - Correlation of angiographic late loss with neointimal proliferation in stents evaluated...
3601029 - Agenesis of internal carotid artery presenting with oculomotor nerve palsy after minor ...
1706509 - Transvenous placement of a pacemaker lead through an introducer despite long-standing s...
3409739 - Restricted pulmonary function in cystic fibrosis.
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Current treatment options in cardiovascular medicine     Volume:  1     ISSN:  1534-3189     ISO Abbreviation:  Curr Treat Options Cardiovasc Med     Publication Date:  1999 Jun 
Date Detail:
Created Date:  2000-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815942     Medline TA:  Curr Treat Options Cardiovasc Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  55-62     Citation Subset:  -    
Affiliation:
Department of Vascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Deep Vein Thrombosis.
Next Document:  Constrictive Pericarditis.