TY - JOUR
T1 - Evaluation and treatment of renal artery stenosis
T2 - Impact on blood pressure and renal function
AU - Van Jaarsveld, Brigit C.
AU - Deinum, Jaap
PY - 2001/5/21
Y1 - 2001/5/21
N2 - The conventional non-invasive tests to diagnose renal artery stenosis in a general hypertensive population are not accurate enough for screening purposes. Magnetic resonance angiography might become the new gold standard, with the advantages of the absence of contrast toxicity, good accuracy, and information on flow characteristics. With regard to the treatment of hypertension in patients with renal artery stenosis, intervention is advised only when blood pressure cannot be controlled by at least three antihypertensive drugs. Patency after stenting is superior to angioplasty, although its clinical benefit has not been proved. As for renal function, evidence - although from uncontrolled studies - for the preservation of renal function by intervention is accumulating, especially in those patients with bilateral stenosis or stenosis in a single functioning kidney.
AB - The conventional non-invasive tests to diagnose renal artery stenosis in a general hypertensive population are not accurate enough for screening purposes. Magnetic resonance angiography might become the new gold standard, with the advantages of the absence of contrast toxicity, good accuracy, and information on flow characteristics. With regard to the treatment of hypertension in patients with renal artery stenosis, intervention is advised only when blood pressure cannot be controlled by at least three antihypertensive drugs. Patency after stenting is superior to angioplasty, although its clinical benefit has not been proved. As for renal function, evidence - although from uncontrolled studies - for the preservation of renal function by intervention is accumulating, especially in those patients with bilateral stenosis or stenosis in a single functioning kidney.
UR - http://www.scopus.com/inward/record.url?scp=0035003819&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/00041552-200105000-00016
DO - https://doi.org/10.1097/00041552-200105000-00016
M3 - Review article
C2 - 11342804
SN - 1062-4821
VL - 10
SP - 399
EP - 404
JO - Current opinion in nephrology and hypertension
JF - Current opinion in nephrology and hypertension
IS - 3
ER -