Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature
Renal artery stenosis (RAS) may cause secondary hypertension, progressive decline in renal function, and cardiac destabilization syndromes including “flash” pulmonary edema, recurrent congestive heart failure, and cerebro-cardiovascular disease. Atherosclerotic lesions, fibromuscular dysplasia, and...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Hellenic Journal of Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1109966622000343 |
| _version_ | 1818231834041909248 |
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| author | Georgios Triantis Georgios K. Chalikias Emmanouil Ioannidis Anna Dagre Dimitrios N. Tziakas |
| author_facet | Georgios Triantis Georgios K. Chalikias Emmanouil Ioannidis Anna Dagre Dimitrios N. Tziakas |
| author_sort | Georgios Triantis |
| collection | DOAJ |
| description | Renal artery stenosis (RAS) may cause secondary hypertension, progressive decline in renal function, and cardiac destabilization syndromes including “flash” pulmonary edema, recurrent congestive heart failure, and cerebro-cardiovascular disease. Atherosclerotic lesions, fibromuscular dysplasia, and vasculitides are the pathophysiological basis of the disease. Common therapeutic pathways for RAS include medical therapy and revascularization with or without stenting. Randomized controlled trials evaluating renal revascularization have not reported any advantages of revascularization over medical therapy alone in terms of renal function improvement or prevention of cardiovascular events. However, mounting clinical experience suggests that the best strategy in RAS management is to identify which patients are most likely to benefit from renal artery stenting and to optimize the safety and durability of the procedure. This review presents 3 cases of patients who have undergone renal revascularization and discusses the available clinical evidence for the identification of RAS patients who will potentially respond well to revascularization. |
| first_indexed | 2024-12-12T10:56:41Z |
| format | Article |
| id | doaj.art-2589e6bdcc4d420d97c10c5b84d89305 |
| institution | Directory Open Access Journal |
| issn | 1109-9666 |
| language | English |
| last_indexed | 2024-12-12T10:56:41Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Hellenic Journal of Cardiology |
| spelling | doaj.art-2589e6bdcc4d420d97c10c5b84d893052022-12-22T00:26:38ZengElsevierHellenic Journal of Cardiology1109-96662022-05-01654248Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literatureGeorgios Triantis0Georgios K. Chalikias1Emmanouil Ioannidis2Anna Dagre3Dimitrios N. Tziakas4Department of Cardiology, Sismanoglion Hospital, Athens, GreeceDepartment of Cardiology, Medical School, Democritus University of Thrace, Alexandroupolis, GreeceDepartment of Cardiology, Sismanoglion Hospital, Athens, GreeceDepartment of Cardiology, Thriassio General Hospital, Athens, GreeceDepartment of Cardiology, Medical School, Democritus University of Thrace, Alexandroupolis, Greece; Corresponding author. Dimitrios N. Tziakas, Cardiology Department, Medical School, Democritus University of Thrace, Dragana, 68100, Alexandroupolis, Greece. Tel.: +30 25513 53205, fax: +30 25513 53245.Renal artery stenosis (RAS) may cause secondary hypertension, progressive decline in renal function, and cardiac destabilization syndromes including “flash” pulmonary edema, recurrent congestive heart failure, and cerebro-cardiovascular disease. Atherosclerotic lesions, fibromuscular dysplasia, and vasculitides are the pathophysiological basis of the disease. Common therapeutic pathways for RAS include medical therapy and revascularization with or without stenting. Randomized controlled trials evaluating renal revascularization have not reported any advantages of revascularization over medical therapy alone in terms of renal function improvement or prevention of cardiovascular events. However, mounting clinical experience suggests that the best strategy in RAS management is to identify which patients are most likely to benefit from renal artery stenting and to optimize the safety and durability of the procedure. This review presents 3 cases of patients who have undergone renal revascularization and discusses the available clinical evidence for the identification of RAS patients who will potentially respond well to revascularization.http://www.sciencedirect.com/science/article/pii/S1109966622000343renal artery stenosisrenal revascularizationmedical therapyrenal artery stenting |
| spellingShingle | Georgios Triantis Georgios K. Chalikias Emmanouil Ioannidis Anna Dagre Dimitrios N. Tziakas Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature Hellenic Journal of Cardiology renal artery stenosis renal revascularization medical therapy renal artery stenting |
| title | Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature |
| title_full | Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature |
| title_fullStr | Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature |
| title_full_unstemmed | Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature |
| title_short | Renal artery revascularization is a controversial treatment strategy for renal artery stenosis: A case series and a brief review of the current literature |
| title_sort | renal artery revascularization is a controversial treatment strategy for renal artery stenosis a case series and a brief review of the current literature |
| topic | renal artery stenosis renal revascularization medical therapy renal artery stenting |
| url | http://www.sciencedirect.com/science/article/pii/S1109966622000343 |
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