Renal artery stenosis

Summary

  • Typically due to atherosclerotic disease or fibromuscular dysplasia.
  • Often presents with accelerated or difficult-to-control HTN.
  • Worsening kidney function, especially after initiating renin-angiotensin blockade, and recurrent flash pulmonary oedema are common features.
  • Presence of renal artery narrowing does not necessarily indicate clinical consequences. Renal artery stenosis, renovascular HTN, and ischaemic nephropathy are various manifestations of this process.
  • Definitive diagnosis is with imaging.
Last updated: Apr 09, 2013
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