title: Interventional radiologic techniques for screening, diagnosis and treatment of patients with renal artery stenosis.
abstract: Renal artery stenosis resulting in renovascular hypertension or renal ischemia is a potentially treatable condition that results in increased morbidity and mortality, especially among older individuals. Sophisticated imaging techniques are used for screening and identification of affected patients to guide therapy. Treatment guidelines recommend intervention in patients with significant renal artery stenosis, although recent evidence has questioned the benefit of intervention in certain populations. Current research focuses on improving the specificity of imaging techniques and determining which imaging modalities best identify patients who will benefit from intervention.
authors.affiliation: Department of Radiology, Division of Interventional Radiology, New York Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th Street, Payson Pavillion 5th Floor, New York, NY, 10065, USA, rhm9007@nyp.org.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Marshall
authors.forename: Marc H
authors.initials: MH
authors.lastname: Schiffman
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Winokur
authors.forename: Adam D
authors.initials: AD
authors.lastname: Talenfeld
authors.forename: David N
authors.initials: DN
authors.lastname: Siegel
mesh_terms: D000792:Angiography; D017130:Angioplasty / Q000379:methods*; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D018810:Magnetic Resonance Angiography / Q000379:methods; D053783:Magnetic Resonance Imaging, Interventional / Q000379:methods; D008403:Mass Screening; D015641:Radiography, Interventional / Q000379:methods; D011877:Radionuclide Imaging; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000294:innervation; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D015607:Stents; D013562:Sympathectomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
references.citation: Radiology. 2001 Feb;218(2):481-90
references.pmid: 11161166
references.citation: Scand J Gastroenterol. 1999 Mar;34(3):325-30
references.pmid: 10232881
references.citation: Radiographics. 2000 Sep-Oct;20(5):1321-40
references.pmid: 10992021
references.citation: J Vasc Interv Radiol. 1996 May-Jun;7(3):343-50
references.pmid: 8761809
references.citation: J Nephrol. 2012 Nov-Dec;25(6):872-8
references.pmid: 23023722
references.citation: Am J Kidney Dis. 1994 Oct;24(4):695-9
references.pmid: 7942830
references.citation: J Am Coll Cardiol. 2013 Apr 9;61(14):1555-70
references.pmid: 23473760
references.citation: Am J Med. 1986 Apr;80(4):633-44
references.pmid: 3515933
references.citation: Magn Reson Imaging. 2010 Jan;28(1):56-64
references.pmid: 19577402
references.citation: Angiology. 1991 May;42(5):345-57
references.pmid: 2035886
references.citation: J Vasc Surg. 2003 Nov;38(5):962-8
references.pmid: 14603201
references.citation: JAMA. 1987 Jan 23-30;257(4):498-501
references.pmid: 3795433
references.citation: Clin Cardiol. 2012 Sep;35(9):528-35
references.pmid: 22573363
references.citation: Radiographics. 2000 Sep-Oct;20(5):1355-68; discussion 1368-72
references.pmid: 10992024
references.citation: Radiographics. 1995 Jul;15(4):833-54; discussion 854-65
references.pmid: 7569132
references.citation: N Engl J Med. 2009 Nov 12;361(20):1953-62
references.pmid: 19907042
references.citation: Nephrol Dial Transplant. 2000 Apr;15(4):539-43
references.pmid: 10727551
references.citation: AJR Am J Roentgenol. 1983 Feb;140(2):325-31
references.pmid: 6217732
references.citation: J Vasc Surg. 1993 Nov;18(5):841-50; discussion 850-2
references.pmid: 8230572
references.citation: Clin Radiol. 2002 Jul;57(7):617-24
references.pmid: 12096862
references.citation: J Vasc Interv Radiol. 2006 Sep;17(9):1383-97; quiz 1398
references.pmid: 16990459
references.citation: Eur Heart J. 2008 Feb;29(4):517-24
references.pmid: 18276621
references.citation: J Vasc Surg. 2006 Jul;44(1):128-35
references.pmid: 16828436
references.citation: Ann Intern Med. 1995 Jun 1;122(11):833-8
references.pmid: 7741367
references.citation: J Am Coll Cardiol. 2009 Jun 23;53(25):2363-71
references.pmid: 19539148
references.citation: Circulation. 1991 Feb;83(2 Suppl):I162-6
references.pmid: 1825044
references.citation: J Am Coll Cardiol. 2003 Apr 16;41(8):1364-72
references.pmid: 12706933
references.citation: Invest Radiol. 2013 Dec;48(12):834-42
references.pmid: 23907103
references.citation: Radiology. 1984 Oct;153(1):77-84
references.pmid: 6236477
references.citation: Clin Radiol. 1995 Sep;50(9):618-22
references.pmid: 7554736
references.citation: Nephrol Dial Transplant. 2003 Feb;18(2):298-304
references.pmid: 12543884
references.citation: Circulation. 1951 Aug;4(2):173-83
references.pmid: 14859394
references.citation: Semin Nephrol. 2000 Sep;20(5):450-5
references.pmid: 11022898
references.citation: Radiology. 2003 Mar;226(3):798-811
references.pmid: 12601190
references.citation: Nephrol Dial Transplant. 2003 Jul;18(7):1252-6
references.pmid: 12808157
references.citation: Circulation. 2008 May 27;117(21):2752-60
references.pmid: 18490527
references.citation: J Vasc Interv Radiol. 2005 Jan;16(1):125-31
references.pmid: 15640420
references.citation: Lancet. 1999 Jan 23;353(9149):282-6
references.pmid: 9929021
references.citation: J Vasc Surg. 1996 Mar;23(3):428-35
references.pmid: 8601884
references.citation: Radiology. 1995 May;195(2):457-62
references.pmid: 7724766
references.citation: N Engl J Med. 2014 Jan 2;370(1):13-22
references.pmid: 24245566
references.citation: Hypertension. 2003 Dec;42(6):1206-52
references.pmid: 14656957
references.citation: Ren Fail. 2007;29(3):295-302
references.pmid: 17497443
references.citation: Ann Intern Med. 2009 Jun 16;150(12):840-8, W150-1
references.pmid: 19414832
references.citation: Magn Reson Imaging Clin N Am. 2009 Feb;17(1):13-27
references.pmid: 19364597
references.citation: Hypertens Res. 2008 May;31(5):881-5
references.pmid: 18712043
references.citation: Catheter Cardiovasc Interv. 2003 Jul;59(3):372-7
references.pmid: 12822163
references.citation: Radiology. 1993 Dec;189(3):779-87
references.pmid: 8234704
references.citation: Arch Intern Med. 2005 Jan 24;165(2):207-13
references.pmid: 15668368
references.citation: J Vasc Surg. 1994 Feb;19(2):250-7; discussion 257-8
references.pmid: 8114186
references.citation: Eur J Radiol. 2010 Dec;76(3):337-47
references.pmid: 20580179
references.citation: Radiology. 2007 Dec;245(3):751-60
references.pmid: 18024452
references.citation: Lancet. 2010 Dec 4;376(9756):1903-9
references.pmid: 21093036
references.citation: J Clin Hypertens (Greenwich). 2010 Jan;12(1):1-2
references.pmid: 20047621
references.citation: J Vasc Surg. 1988 Feb;7(2):363-9
references.pmid: 3276934
references.citation: Lancet. 1995 Sep 9;346(8976):672-4
references.pmid: 7658821
references.citation: J Vasc Interv Radiol. 2010 Apr;21(4):421-30; quiz 230
references.pmid: 20188590
references.citation: Ann Intern Med. 2010 Feb 2;152(3):197; author reply 198
references.pmid: 20124246
references.citation: N Engl J Med. 1997 Feb 13;336(7):459-65
references.pmid: 9017938
references.citation: Prog Cardiovasc Dis. 2009 Nov-Dec;52(3):209-19
references.pmid: 19917332
references.citation: Nat Clin Pract Cardiovasc Med. 2009 Mar;6(3):176-90
references.pmid: 19234498
references.citation: Am J Med. 2003 Jan;114(1):44-50
references.pmid: 12557864
references.citation: Mayo Clin Proc. 2011 Jul;86(7):603-5
references.pmid: 21719617
references.citation: Hypertension. 2011 May;57(5):911-7
references.pmid: 21403086
references.citation: J Nucl Med. 1987 Sep;28(9):1383-92
references.pmid: 3305804
references.citation: AJR Am J Roentgenol. 2007 Mar;188(3):798-811
references.pmid: 17312071
references.citation: AJR Am J Roentgenol. 1985 Mar;144(3):447-50
references.pmid: 3155891
references.citation: Ann Intern Med. 2004 Nov 2;141(9):674-82; discussion 682
references.pmid: 15520423
references.citation: Catheter Cardiovasc Interv. 2010 Feb 1;75(2):305-7
references.pmid: 20095015
references.citation: Ann Intern Med. 2001 Sep 18;135(6):401-11
references.pmid: 11560453
references.citation: J Hypertens. 1999 Dec;17(12 Pt 1):1743-50
references.pmid: 10658941
references.citation: Radiology. 2000 Jun;215 Suppl:663-70
references.pmid: 11037481
references.citation: J Am Coll Cardiol. 2006 Nov 7;48(9):1851-5
references.pmid: 17084261
references.citation: Radiology. 1990 Dec;177(3):749-53
references.pmid: 2243982
references.citation: Radiology. 1990 Feb;174(2):421-3
references.pmid: 2404314
references.citation: J Endovasc Surg. 1999 Feb;6(1):42-51
references.pmid: 10088889
references.citation: Semin Vasc Surg. 2001 Sep;14(3):177-85
references.pmid: 11561278
references.citation: Am J Cardiol. 1968 Jan;21(1):60-71
references.pmid: 5634745
references.citation: J Invasive Cardiol. 1998 Jan;10(1):55-58
references.pmid: 10762767
references.citation: Acta Chir Scand Suppl. 1966;356B:150-62
references.pmid: 5224206
references.citation: N Engl J Med. 1983 Aug 4;309(5):274-9
references.pmid: 6223227
references.citation: Urol Clin North Am. 1984 Aug;11(3):383-92
references.pmid: 6464247
references.citation: J Vasc Interv Radiol. 1999 Jun;10(6):689-705
references.pmid: 10392936
references.citation: Radiographics. 2001 Mar-Apr;21(2):373-86; questionnaire 549-55
references.pmid: 11259702
references.citation: Eur Radiol. 2003 Jun;13(6):1413-9
references.pmid: 12764659