Renal artery stenosis surgery: Difference between revisions
Esther Lee (talk | contribs) Created page with "__NOTOC__ {{Renal artery stenosis}} {{CMG}} ==Overview== ==Surgery== When high-grade renal artery stenosis is documented and blood pressure cannot be controlled with medicat..." |
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==Overview== | ==Overview== | ||
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{{Renal artery stenosis}} | |||
{{CMG}} | |||
==Overview== | |||
==Angioplasty and stenting== | |||
When high-grade renal artery stenosis is documented and blood pressure cannot be controlled with medication, or if renal function deteriorates, renal artery stenosis is often treated invasively. Renal artery stenosis is most commonly treated by endovascular techniques (i.e. [[angioplasty]] with or without [[stent]]ing). A 2003 [[meta-analysis]] found that angioplasty was safe and effective in this context.<ref>{{cite journal |author=Nordmann AJ, Woo K, Parkes R, Logan AG |title=Balloon angioplasty or medical therapy for hypertensive patients with atherosclerotic renal artery stenosis? A meta-analysis of randomized controlled trials |journal=Am. J. Med. |volume=114 |issue=1 |pages=44-50 |year=2003 |pmid=12557864 |doi=}}</ref> There are ongoing clinical trials to compare medical management and angioplasty with stenting to medical management alone. These include CORAL and ASTRAL, both scheduled to report results in 2010. In addition to endovascular treatment, surgical resection and anastomosis is a rarely-used option. | When high-grade renal artery stenosis is documented and blood pressure cannot be controlled with medication, or if renal function deteriorates, renal artery stenosis is often treated invasively. Renal artery stenosis is most commonly treated by endovascular techniques (i.e. [[angioplasty]] with or without [[stent]]ing). A 2003 [[meta-analysis]] found that angioplasty was safe and effective in this context.<ref>{{cite journal |author=Nordmann AJ, Woo K, Parkes R, Logan AG |title=Balloon angioplasty or medical therapy for hypertensive patients with atherosclerotic renal artery stenosis? A meta-analysis of randomized controlled trials |journal=Am. J. Med. |volume=114 |issue=1 |pages=44-50 |year=2003 |pmid=12557864 |doi=}}</ref> There are ongoing clinical trials to compare medical management and angioplasty with stenting to medical management alone. These include CORAL and ASTRAL, both scheduled to report results in 2010. In addition to endovascular treatment, surgical resection and anastomosis is a rarely-used option. | ||
==References== | |||
{{Reflist|2}} | |||
[[Category:Kidney diseases]] | |||
[[Category:Nephrology]] | |||
[[Catergory:Cardiology]] | |||
{{WH}} | |||
{{WS}} | |||
==References== | ==References== | ||
Revision as of 14:58, 28 September 2012
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Renal artery stenosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Renal artery stenosis surgery On the Web |
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American Roentgen Ray Society Images of Renal artery stenosis surgery |
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Risk calculators and risk factors for Renal artery stenosis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
|
Renal artery stenosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Renal artery stenosis surgery On the Web |
|
American Roentgen Ray Society Images of Renal artery stenosis surgery |
|
Risk calculators and risk factors for Renal artery stenosis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
Angioplasty and stenting
When high-grade renal artery stenosis is documented and blood pressure cannot be controlled with medication, or if renal function deteriorates, renal artery stenosis is often treated invasively. Renal artery stenosis is most commonly treated by endovascular techniques (i.e. angioplasty with or without stenting). A 2003 meta-analysis found that angioplasty was safe and effective in this context.[1] There are ongoing clinical trials to compare medical management and angioplasty with stenting to medical management alone. These include CORAL and ASTRAL, both scheduled to report results in 2010. In addition to endovascular treatment, surgical resection and anastomosis is a rarely-used option.