Renal artery stenosis surgery
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Renal artery stenosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Renal artery stenosis surgery On the Web |
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American Roentgen Ray Society Images of Renal artery stenosis surgery |
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Risk calculators and risk factors for Renal artery stenosis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
When high-grade renal artery stenosis is documented and blood pressure cannot be controlled with medication, or if renal function deteriorates, renal artery stenosis is often treated invasively. Renal artery stenosis is most commonly treated by endovascular techniques (i.e. angioplasty with or without stenting). A 2003 meta-analysis found that angioplasty was safe and effective in this context.[1] There are ongoing clinical trials to compare medical management and angioplasty with stenting to medical management alone. These include CORAL and ASTRAL, both scheduled to report results in 2010. In addition to endovascular treatment, surgical resection and anastomosis is a rarely-used option.