Renal artery stenosis: when to revascularize in 2017

Tafur, Jose D. and White, Christopher J. (2017) Renal artery stenosis: when to revascularize in 2017. Current Problems in Cardiology, 42 4: 110-134. doi:10.1016/j.cpcardio1.2017.01.004

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Author Tafur, Jose D.
White, Christopher J.
Title Renal artery stenosis: when to revascularize in 2017
Journal name Current Problems in Cardiology   Check publisher's open access policy
ISSN 0146-2806
Publication date 2017-04-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.cpcardio1.2017.01.004
Open Access Status File (Author Post-print)
Volume 42
Issue 4
Start page 110
End page 134
Total pages 25
Place of publication Philadelphia, PA, United States
Publisher Mosby
Language eng
Abstract 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. Screening for renal artery stenosis can be done with Doppler ultrasonography, computed tomographic angiography and magnetic resonance angiography. Invasive physiologic measurements are useful to confirm the severity of renal hypoperfusion and therefore improve the selection patients likely to respond to renal artery revascularization. Primary patency exceeds 80% at 5 years and surveillance for in-stent restenosis can be done with periodic clinical, laboratory, and imaging follow-up.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
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