[Renal artery stenosis--diagnosis and treatment].
Screening for renal artery stenosis (RAS) should be restricted to patients with a high RAS risk. Captopril renography, computed tomography (CT)-angiography, magnetic resonance (MR)-angiography and ultrasound (US) Doppler can be used. Most patients should receive medical treatment. If predictive tests suggest a good outcome, revascularisation with percutaneous transluminal renal angioplasty (PTRA) should be considered in patients with refractory hypertension, fibromuscular dysplasia, recurrent pulmonary oedema, bilateral renal artery stenosis or progressive azotaemia, and in patients with a narrow stenosis to a single kidney.
Pedersen
Erling Bjerregaard
EB
Regionshospitalet Holstebro, Medicinsk Afdeling og Medicinsk Forskning, Holstebro. aebp@ringamt.dk
Andersen
Ulrik Bjørn
UB
D000800:Angioplasty, Balloon; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D018810:Magnetic Resonance Angiography; D008403:Mass Screening / Q000379:methods; D011237:Predictive Value of Tests; D011866:Radioisotope Renography; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler