[Atherosclerotic renal artery stenosis].
Only patients with the typical symptoms of a stenosis of the renal artery should be submitted to a screening examination. In elderly patients with suspected atherosclerotic stenosis of the renal artery, color-coded duplex ultrasonography is the diagnostic method of choice. If visualization proves to be poor, and in particular when accessory renal arteries are present, magnetic resonance angiography may be considered. If there is significant stenosis of the renal artery, and if a positive effect on renal function or blood pressure control is to be expected, percutaneous transluminal angioplasty with implantation of a stent is the treatment of first choice. In the case of patients with additional aortic pathology, operative revascularization must be considered.
Schmidt
M
M
Abteilung Innere Medizin, Stiftsklinik Augustinum, München.
Blumenstein
M
M
D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001161:Arteriosclerosis / Q000175:diagnosis / Q000628:therapy*; D004867:Equipment Design; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000628:therapy*; D007677:Kidney Function Tests; D008297:Male; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000628:therapy*; D015607:Stents