When is a screening for renal artery stenosis medically necessary?

Uncontrolled BP: When a patient who is taking 3 or 4 blood presure medicines but still has an elevated blood pressure, then they should be screened for renal artery stenosis (ras). Additionally, any individuals who are younger then 30 or older than 60 who have blood pressures in 200/100 range should also be checked.

Multiple: New onset or rapidly worsening hypertension. Difficult blood pressure control multi- drug regimens abdominal aneurysm worsening renal function testing.

Renal artery stenose: I specializes in this and can give much more detail during a 2nd opinion. Anyone with HTN at young age, sudden onset. severe HTN, abdominal bruit, drug resistant HTN ( not at goal with at least 3 drugs one of which is a diuretic and low salt diet.