Renal artery stenosis: Difference between revisions

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__NOTOC__
__NOTOC__
{{Infobox_Disease |
  Name          = {{PAGENAME}} |
  Image          = Kidney PioM.png  |
  Caption        = [[Renal artery]] is #3 |
  DiseasesDB    = 11255 |
  ICD10          = |
  ICD9          = {{ICD9|440.1}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = 001273 |
  }}
[[Image:Renal artery stenosis diagram 001.gif|thumb|200px|Illustration of renal artery stenosis]]
{{Renal artery stenosis}}
{{Renal artery stenosis}}
{| class="infobox" style="float:right;"
|}


'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
{{CMG}}; '''Associate Editor-In-Chief:''' {{Shivam Singla}}
 
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}


{{SK}}: RAS
{{SK}} RAS; renovascular hypertension; atherosclerotic renal artery stenosis; ARAS


==[[Renal artery stenosis overview|Overview]]==
==[[Renal artery stenosis overview|Overview]]==
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==[[Renal artery stenosis causes|Causes]]==
==[[Renal artery stenosis causes|Causes]]==


==Classification==
==[[Renal artery stenosis classification|Classification]]==
Renal artery stenosis may be classified according to whether there is unilateral or bilateral involvement of the renal arteries. Additionally, renal artery stenosis is often classified according to severity of luminal narrowing. The following criteria are used according to most published studies about ARAS.<ref name="pmid8234704">{{cite journal| author=Kliewer MA, Tupler RH, Carroll BA, Paine SS, Kriegshauser JS, Hertzberg BS et al.| title=Renal artery stenosis: analysis of Doppler waveform parameters and tardus-parvus pattern. | journal=Radiology | year= 1993 | volume= 189 | issue= 3 | pages= 779-87 | pmid=8234704 | doi=10.1148/radiology.189.3.8234704 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8234704 }} </ref><ref name="pmid2243982">{{cite journal| author=Desberg AL, Paushter DM, Lammert GK, Hale JC, Troy RB, Novick AC et al.| title=Renal artery stenosis: evaluation with color Doppler flow imaging. | journal=Radiology | year= 1990 | volume= 177 | issue= 3 | pages= 749-53 | pmid=2243982 | doi=10.1148/radiology.177.3.2243982 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2243982 }} </ref>
 
To note, some studies have different classification criteria than those listed below, with mild disease starting after 50% of luminal narrowing. Such classification remains coherent with the definition of ARAS as narrowing > 50%.<ref name="pmid21719621">{{cite journal| author=Lao D, Parasher PS, Cho KC, Yeghiazarians Y| title=Atherosclerotic renal artery stenosis--diagnosis and treatment. | journal=Mayo Clin Proc | year= 2011 | volume= 86 | issue= 7 | pages= 649-57 | pmid=21719621 | doi=10.4065/mcp.2011.0181 | pmc=PMC3127560 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21719621 }} </ref>
 
{|border="1" style="border-collapse:collapse; text-align:left; font-size:120%;" cellpadding="5" align="center" width="400px"
| bgcolor="#67e1ff" align="center"|'''Severity'''||bgcolor="#67e1ff" align="center"|'''Luminal Narrowing'''
|-
| bgcolor="#f3f3f3"| Normal
| 0%
|-
|bgcolor="#f3f3f3"| Mild
| 1-49%
|-
| bgcolor="#f3f3f3"| Moderate
| 50-69%
|-
| bgcolor="#f3f3f3"| Severe
| 70-99%
|-
| bgcolor="#f3f3f3"| Occluded
| 100%
|}


==[[Renal artery stenosis epidemiology and demographics|Epidemiology and Demographics]]==
==[[Renal artery stenosis epidemiology and demographics|Epidemiology and Demographics]]==
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==Diagnosis==
==Diagnosis==
[[Renal artery stenosis diagnostic criteria|Diagnostic Criteria]] | [[Renal artery stenosis history and symptoms|History and Symptoms]] | [[Renal artery stenosis physical examination|Physical Examination]] | [[Renal artery stenosis x ray|X Ray]] | [[Renal artery stenosis CT|CT]] | [[Renal artery stenosis MRI|MRI]] | [[Renal artery stenosis ultrasound|Echocardiography or Ultrasound]] | [[Renal artery stenosis other imaging findings|Other Imaging Findings]] | [[Renal artery stenosis other diagnostic studies|Other Diagnostic Studies]]
[[Renal artery stenosis diagnostic criteria|Diagnostic Criteria]] | [[Renal artery stenosis history and symptoms|History and Symptoms]] | [[Renal artery stenosis physical examination|Physical Examination]] | [[Renal artery stenosis x ray|X Ray]] | [[Renal artery stenosis CT|CT]] | [[Renal artery stenosis MRI|MRI]] | [[Renal artery stenosis ultrasound|Echocardiography or Ultrasound]]


==Treatment==
==Treatment==
 
[[Renal artery stenosis medical therapy|Medical Therapy]] |  [[Renal artery stenosis angioplasty and stenting|Angioplasty and Stenting]] | [[Renal artery stenosis surgery|Surgery]]
[[Renal artery stenosis medical therapy|Medical Therapy]] |  [[Renal artery stenosis angioplasty and stenting|Angioplasty and Stenting]] | [[Renal artery stenosis surgery|Surgery]] | [[Renal artery stenosis primary prevention|Primary Prevention]] | [[Renal artery stenosis secondary prevention|Secondary Prevention]] | [[Renal artery stenosis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Renal artery stenosis future or investigational therapies|Future or Investigational Therapies]]


==Case Studies==
==Case Studies==
*[[Renal artery stenosis case study one|Case #1]]
[[Renal artery stenosis case study one|Case #1]]


==Related Chapters==
==References==
* [[Renovascular hypertension]]
{{Reflist|2}}
* [[Acute renal failure]]
* [[Atherosclerosis]]
* [[Chronic glomerulonephritis]]
* [[Hypersensitivity nephropathy]]
* [[Hypertension]]
* [[Malignant hypertension]]
* [[Nephrosclerosis]]
* [[Renovascular hypertension]]
* [[Uremia]]
 
==External Links==
*[http://www.youtube.com/watch?v=xeV3lmYi1Hk Bilateral Renal Artery Stenosis example]
*[http://www.youtube.com/watch?v=4UzLFatOg1Q Right Renal Artery Stenosis example]
 
*Bilateral Renal Artery Stenosis
{{#ev:youtube|xeV3lmYi1Hk}}
 
* Right Renal Artery Stenosis
 
{{#ev:youtube|4UzLFatOg1Q}}
 
{{Circulatory system pathology}}
{{Nephrology}}


[[Category:Kidney diseases]]
[[Category:Kidney diseases]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[de:Nierenarterienstenose]]
[[nl:Nierarteriestenose]]


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Latest revision as of 00:04, 1 December 2020

Renal artery stenosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Renal artery stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Renal artery stenosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Renal artery stenosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Renal artery stenosis

CDC on Renal artery stenosis

Renal artery stenosis in the news

Blogs on Renal artery stenosis

Directions to Hospitals Treating Renal artery stenosis

Risk calculators and risk factors for Renal artery stenosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Shivam Singla, M.D.[2]

Synonyms and keywords: RAS; renovascular hypertension; atherosclerotic renal artery stenosis; ARAS

Overview

Pathophysiology

Causes

Classification

Epidemiology and Demographics

Risk Factors

Diagnosis

Diagnostic Criteria | History and Symptoms | Physical Examination | X Ray | CT | MRI | Echocardiography or Ultrasound

Treatment

Medical Therapy | Angioplasty and Stenting | Surgery

Case Studies

Case #1

References


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