title: [Role of angioplasty in the treatment of renal artery stenosis].
abstract: Atherosclerotic renal artery stenosis is frequent and is associated with a high incidence of morbidity and mortality, with a strong correlation with coronary artery disease, (Kalra et al., 2005; Cheung et al., 2002; Guo et al., 2007 [1-3]). The atherosclerotic renal artery stenosis is an independent predictive factor of death (Conlon et al., 1998 [4]). The treatment of this lesion does not have strong evidence. A lot of studies in this area suggest the angioplasty is superior in a big majority between surgery, and angioplasty with stent is superior between balloon angioplasty, but some studies fail to prove the superiority of angioplasty versus medical treatment. These studies have sadly a lot of mistakes and nowadays we don't know what is the treatment for our patients in a lot of cases. The angioplasty is indicated when there is a failure of antihypertensive medications for control of blood pressure, when it is associated with a renal insufficiency quickly progressive or when there is a lesion on each renal artery. Other studies must be organized for prove the superiority of angioplasty when there is a real stenosis, maybe with the use of fractional flow reserve.
authors.affiliation: Hôpital universitaire Nord, chemin de Sbourrelly, Marseille, France. sebastienarmero@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Armero
authors.forename: L
authors.initials: L
authors.lastname: Bonello
authors.forename: F
authors.initials: F
authors.lastname: Paganelli
authors.forename: P
authors.initials: P
authors.lastname: Barragan
authors.forename: P-O
authors.initials: PO
authors.lastname: Roquebert
authors.forename: P
authors.initials: P
authors.lastname: Commeau
mesh_terms: D017130:Angioplasty / Q000379:methods; D000800:Angioplasty, Balloon / Q000379:methods; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects; D019317:Evidence-Based Medicine; D005602:France / Q000453:epidemiology; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D015994:Incidence; D011379:Prognosis; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D015607:Stents; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000959:Antihypertensive Agents