Does renal artery stenosis always need surgery or stenting?
No. Many cases are managed with medications alone. Angioplasty or stenting is considered when blood pressure cannot be controlled or kidney function is deteriorating.
Treatment
Renal artery stenosis
Narrowing of kidney arteries: causes, diagnosis, and treatment options.
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Short Answer
Renal artery stenosis is a narrowing of the arteries supplying the kidneys, commonly caused by atherosclerosis, leading to high blood pressure and reduced kidney function.
Medical Facts
- Atherosclerotic renal artery stenosis is most common in older adults with cardiovascular risk factors.
- Fibromuscular dysplasia is a less common cause seen predominantly in younger women.
- Diagnosis often involves Doppler ultrasound, CT angiography, or MR angiography.
Treatment or Donation Options
- Get a renal artery Doppler if resistant hypertension or unexplained kidney function decline is present.
- Discuss medical management (blood pressure control, statins) versus angioplasty with your specialist.
- Monitor kidney function regularly if renal artery stenosis is confirmed.
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