title: Atherosclerotic renal artery stenosis and renal artery stenting: an evolving therapeutic option.
abstract: Atherosclerotic renal artery stenosis is a common clinical problem for which the optimal therapeutic strategy remains to be defined. However, renal artery stenting procedures have significantly increased as one approach to treat this clinical problem. Despite improvements in device design and technical performance of the procedure, the benefits and results of randomized clinical trials of renal artery stenting as a therapy remain confusing. Understanding the epidemiology, pathophysiology and natural history of renal artery stenosis are central to improving the outcomes of renal artery stenting. Developing both noninvasive and invasive predictive tools to better identify which patient will respond to renal revascularization will also be beneficial. In this article, we will present an overview of atherosclerotic renal artery disease. The results of renal artery stenting will be discussed and from this, the available noninvasive and invasive tools available to assess the clinical and hemodynamic significance of renal artery stenosis will be presented.
authors: Section of Vascular Medicine, Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
authors: Ronan
authors: R
authors: Margey
authors: Brian G
authors: BG
authors: Hynes
authors: Darragh
authors: D
authors: Moran
authors: Thomas J
authors: TJ
authors: Kiernan
authors: Michael R
authors: MR
authors: Jaff
mesh_terms: D000800:Angioplasty, Balloon; D050197:Atherosclerosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D012077:Renal Artery; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D015607:Stents