Renovascular disease natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Successful Outcome For Control Of Hypertension

Rapid acceleration of hypertension over the prior weeks or months
Presence of “malignant” hypertension
Hypertension in association with flash pulmonary edema
Contemporaneous rise in serum creatinine
Development of azotemia in response to ACE inhibitors administered for control of hypertension.

Successful Salvage Or Preservation Of Renal Function

Recent rapid rise in creatinine, unexplained by other factors
Azotemia resulting from ACE inhibitors
Absence of diabetes or other cause of intrinsic kidney disease
Presence of global renal ischemia, wherein the entire functioning renal mass is subtended by bilateral critically narrowed renal arteries or a vessel supplying a solitary kidney.