Diagnostic criteria for renovascular disease: Where are we now?

Research output: Contribution to journalReview article

23 Scopus citations

Abstract

Renovascular disease, especially atherosclerotic renal artery stenosis (ARAS) in older subjects, is commonly encountered in clinical practice. This is at least in part due to the major advances in non-invasive imaging techniques that allow greater diagnostic sensitivity and accuracy than ever before. Despite increased awareness of ARAS, renal revascularization is less commonly performed, likely as a result of several prospective, randomized, clinical trials which fail to demonstrate major benefits of renal revascularization beyond medical therapy alone. Primary care physicians are less likely to investigate renovascular disease and nephrologists likely see more patients after a period of unsuccessful medical therapy with more advanced ARAS. The goal of this review is to revisit current diagnostic and therapeutic paradigms in order to characterize more clearly which patients will likely benefit from further evaluation and intensive treatment of renal artery stenosis.

Original languageEnglish (US)
Pages (from-to)2657-2663
Number of pages7
JournalNephrology Dialysis Transplantation
Volume27
Issue number7
DOIs
StatePublished - Jul 2012

Keywords

  • chronic kidney disease
  • hypertension
  • imaging
  • renal artery stenosis

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

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