Atherosclerotic renal stenosis: indications for revascularisation
Phan, O.; Burnier, M.; Waeber, B.
Revue Medicale Suisse 4(170): 1918-1920; 1922-1923
2008
ISSN/ISBN: 1660-9379 PMID: 18847120 Document Number: 619135
Atherosclerotic renal artery stenosis is often associated with diffuse atherosclerotic disease and consequently an increased cardiovascular morbidity and mortality. Despite evidence of only moderate clinical benefit in comparison with medical treatment to control the blood pressure and to prevent renal failure, renal endovascular revascularisation has become more and more popular. The decision to treat an atherosclerotic renal stenosis by revascularisation should be taken only after a close examination of the hemodynamic impact of the stenosis, the renal function, the severity of hypertension and the quality of blood pressure control achieved by the medical treatment.