Management of atherosclerotic renal artery stenosis

被引：1

作者：

Peixoto, Aldo J. ^{[1
,2
]}

Ditchel, Laura M. ^{[3
]}

Santos, Sergio F. F. ^{[4
]}

机构：

[1] VA Connecticut Healthcare Syst, Med Serv, West Haven, CT 06516 USA

[2] Yale Univ, Sch Med, Nephrol Sect, New Haven, CT USA

[3] Brigham & Womens Hosp, Internal Med Residency Program, Boston, MA 02115 USA

[4] State Univ Rio de Janeiro UERJ, Div Nephrol, Rio De Janeiro, Brazil

来源：

EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2010年 / 8卷 / 09期

关键词：

angioplasty; atherosclerosis; hypertension; kidney failure; renal artery stenosis; stent;

D O I：

10.1586/ERC.10.85

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The management of atherosclerotic renal artery stenosis is controversial. Although it may appear intuitive that restoring normal blood flow to the kidney(s) is the treatment of choice, there are no data showing an obvious advantage of interventional therapy compared with medical therapy. In this article, we discuss the most recent advances in the treatment of atherosclerotic renal artery stenosis with a focus on randomized studies comparing medical treatment with angioplasty/stenting, particularly in patients with underlying renal dysfunction. The available data are still of limited quality but provide support against indiscriminate use of interventions, as these treatments appear no better than best medical treatment that focuses on blood pressure control, use of blockers of the renin-angiotensin system, and aggressive cardiovascular risk management.

引用

页码：1317 / 1324

页数：8

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