[Treatment of renal artery stenosis].
The attitude to treatment of renal artery stenosis has recently been modified from an active to a more expectant strategy based on informations from randomised studies. The primary treatment should be antihypertensive agents. Revascularisation should be considered in patients with refractory hypertension, recurrent pulmonary oedema, bilateral renal artery stenosis or progressive azotaemia, and in patients with a narrow stenosis to a single kidney. The treatment, i.e. surgery or PTA with or without stent, should be selected on an overall view of the patients' health using a combination of clinical, pathophysiological, and angiographic investigations.
Pedersen
Erling Bjerregaard
EB
Medicinsk afdeling, Holstebro Sygehus, DK-7500 Holstebro.
D000714:Anastomosis, Surgical; D000800:Angioplasty, Balloon; D000959:Antihypertensive Agents / Q000627:therapeutic use; D019917:Blood Vessel Prosthesis Implantation; D018849:Controlled Clinical Trials as Topic; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012077:Renal Artery / Q000601:surgery; D012078:Renal Artery Obstruction / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D015607:Stents
D000959:Antihypertensive Agents