Renal artery stenosis resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karol Gema Hernandez, M.D. [2]

Definition

This section provides a short and straight to the point definition of the disease or symptom in one sentence.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

• Life threatening cause 1
• Life threatening cause 2
• Life threatening cause 3

Common Causes

• Common cause 1
• Common cause 2
• Common cause 3
• Common cause 4
• Common cause 5

Clinical Clues to the Diagnosis of RAS

❑ Determine if one or more of the above is present

Scenario Level of evidence 1.Onset of hypertension before the age of 30 years or severe hypertension after the age of 55. Class I; LOE B Heparin therapeutic dose 1-5 Heparin flushes 0.1-1 LMWH prophylactic or therapeutic dose 0.1-1 Cardiac surgery patients 1-3 Medical patients Patients with malignacy 1 Heparin prophylactic or therapeutic dose 0.1-1 LMWH, prophylactic or therapeutic dose 0.6 Intensive care unit patients 0.4 Heparin flushes < 0.1 Obstetrics patients <0.1

Risk <1%

Risk >1%

❑ Do not monitor platelet count

❑ Monitor platelet count every 2 or 3 days from day 4 to day 14 (or until heparin is stopped)

Algorithm based on the 2012 ACCP evidence based clinical practice guidelines.

References

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