A member asked:

What are some alternative treatments for renal artery stenosis?

10 doctors weighed in across 5 answers
Dr. Tarek Naguib answered

Specializes in Nephrology and Dialysis

A few options exist.: First, we may observe only if we have good blood pressure and kidney function with no fluid overload with close monitoring by a nephrologist. If the case is not stable i.e. These factors are worse or not controlled then angioplasty is considered i.e. Ballooning with a stent placement may control the problem and save medication use. Bypass surgery is the last option.

Answered 9/15/2013

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Medicine vs Stents: There is no difference in outcomes when using a stent or medical therapy to treat renal artery stenosis (ras). Therefore a person can get a stent placed by a vascular surgeon to treat the condition. However a person can take multiple blood pressure medications without having to undergo surgery to treat the condition as well.

Answered 5/3/2016

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It depends: It depends on the degree of stenosis if it is more than 60% it certainly cause decrease blood flow to the kidneys therefore angioplasty (dilatation) might be necessary.

Answered 9/16/2017

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Angioplasty/Surgery: Generally, the treatment for renal artery stenosis is angioplasty (stretching the artery open with a balloon) with or without a stent, depending on the situation. If the stenosis is in a bad place or is not able to be fixed with angioplasty, surgery is an option. Sometimes, the stenosis can just be followed if there is not a problem with blood pressure or the stenosis is not damaging the kidney.

Answered 8/27/2012

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Stent or medical.: There is no difference in outcomes when using a renal artery stent or medical therapy to treat renal artery stenosis. Therefore a person can get a stent placed by a vascular surgeon to treat the condition or a person can take multiple blood pressure medications without having to undergo surgery to treat the condition as well.

Answered 5/14/2013

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