Renal artery stenosis is the most common secondary cause of hypertension and predominantly caused by atherosclerosis. In suspected patients, a non-invasive diagnosis with ultrasound is preferred. Asymptomatic, incidentally found RAS does not require revascularization. In symptomatic patients requiring revascularization, renal artery stenting is the preferred therapy. Selecting appropriate patients for revascularization requires careful consideration of lesion severity and is optimized with a multidisciplinary team. All patients with atherosclerotic RAS should be treated with guideline-directed medical therapy, including hypertension control, diabetes control, statins, antiplatelet therapy, smoking cessation and encouraging activity.
CITATION STYLE
Safian, R. D. (2021, March 1). Renal artery stenosis. Progress in Cardiovascular Diseases. W.B. Saunders. https://doi.org/10.1016/j.pcad.2021.03.003
Mendeley helps you to discover research relevant for your work.