angioplasty and atherosclerotic renal artery stenosis
Last reviewed 05/2022
Renal artery stenosis is associated with hypertension in humans and laboratory animals. Patients with atherosclerotic renal artery stenosis and hypertension are commonly treated by transluminal renal artery angioplasty.
- a systematic
review investigating the management strategies for renal artery stenosis has been
undertaken (1):
- weak evidence suggested no large differences in mortality rates or cardiovascular events between medical and revascularization treatments. Acceptable evidence suggested similar kidney-related outcomes but better blood pressure outcomes with angioplasty, particularly in patients with bilateral disease. Improvements in kidney function and cure of hypertension were reported among some patients only in cohort studies of angioplasty. Evidence from direct comparisons of interventions is sparse and inadequate to draw robust conclusions
- evidence does not clearly support one treatment approach over another for atherosclerotic renal artery stenosis
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