title: Management of Renovascular Hypertension.
abstract: Renal artery stenosis is a potentially reversible cause of hypertension, and transcatheter techniques are essential to its treatment. Angioplasty remains a first-line treatment for stenosis secondary to fibromuscular dysplasia. Renal artery stenting is commonly used in atherosclerotic renal artery stenosis, although recent trials have cast doubts upon its efficacy. Renal denervation is a promising procedure for the treatment of resistant hypertension, and in the future, its indications may expand.
authors.affiliation: Department of Radiology, Section of Interventional Radiology, University of California, San Diego, CA.
authors.forename: Aaron
authors.initials: A
authors.lastname: Smith
authors.affiliation: Department of Radiology, Division of Interventional Radiology, University of Illinois Hospital & Health Sciences System, Chicago, IL.
authors.forename: Ron C
authors.initials: RC
authors.lastname: Gaba
authors.affiliation: Department of Radiology, Division of Interventional Radiology, University of Illinois Hospital & Health Sciences System, Chicago, IL.
authors.forename: James T
authors.initials: JT
authors.lastname: Bui
authors.affiliation: Department of Radiology, Section of Interventional Radiology, University of California, San Diego, CA. Electronic address: jminocha@ucsd.edu.
authors.forename: Jeet
authors.initials: J
authors.lastname: Minocha
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation; D001794:Blood Pressure; D017115:Catheter Ablation / Q000009:adverse effects; D000072226:Computed Tomography Angiography; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D007668:Kidney / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D008297:Male; D011237:Predictive Value of Tests; D015641:Radiography, Interventional / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000294:innervation* / Q000503:physiopathology; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012307:Risk Factors; D015607:Stents; D013562:Sympathectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency
keywords: Angioplasty; Fibromuscular dysplasia (FMD); Renal artery denervation; Renal artery stenosis (RAS); Renovascular hypertension; Stenting