[Arteriosclerotic renal artery stenosis. Significance, diagnosis and therapy options].
BACKGROUND
Renal artery stenosis (RAS) can cause arterial hypertension and can lead to renal insufficiency. In 1999 16% of patients starting dialysis in Germany suffered from ischemic nephropathy.
Cost-effective screening for RAS should be done by Doppler sonography or captopril renography. Doppler sonographic findings can be predictive in respect to progression of stenosis, renal atrophy and postinterventional course of hypertension and kidney survival.


METHODS
The results of recent studies are helpful to select patients for preferential drug treatment or for interventional treatment.
Klinik für Nephrologie und Rheumatologie, Heinrich-Heine-Universität Düsseldorf. hollenbeck@kk-bottrop.de
Markus
M
Hollenbeck
Adina
A
Voiculescu
Gerd Rüdiger
GR
Hetzel
Wilhelm
W
Sandmann
Ulrich
U
Mödder
Bernd
B
Grabensee
D000800:Angioplasty, Balloon; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use; D001161:Arteriosclerosis / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D006801:Humans; D007677:Kidney Function Tests; D009392:Nephrectomy; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D012078:Renal Artery Obstruction / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D015996:Survival Rate
D000959:Antihypertensive Agents