4 doctors weighed in:

What are the treatments for renal artery stenosis?

4 doctors weighed in
Dr. Andris Kazmers
Surgery - Vascular
1 doctor agrees

In brief: RAS

RAS due to atherosclerosis (ASO) more often than fibromuscular disease (FMD) Medical treatment does not alter RAS but can control BP.
RAS can progress to occlusion. Controlling ASO risk factors appropriate. Open renal bypass infrequent. Angioplasty/stent more common but controversial. PTA probably Rx of choice for FMD. PTA/stent for ASO if flash pulmonary edema, uncontrolled BP, renal failure.

In brief: RAS

RAS due to atherosclerosis (ASO) more often than fibromuscular disease (FMD) Medical treatment does not alter RAS but can control BP.
RAS can progress to occlusion. Controlling ASO risk factors appropriate. Open renal bypass infrequent. Angioplasty/stent more common but controversial. PTA probably Rx of choice for FMD. PTA/stent for ASO if flash pulmonary edema, uncontrolled BP, renal failure.
Dr. Andris Kazmers
Dr. Andris Kazmers
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Dr. Clarence Grim
Internal Medicine - Endocrinology

In brief: Rx for RAS

35 M asks treatments for RAS.
AT that age most likely cause if fibromuscluar hyperplasia and if renin coming from that kidney is high then ballon angioplasty with stent may work. If due atherosclerosis recommend medical management esp if you have not had a renal vein renin study.

In brief: Rx for RAS

35 M asks treatments for RAS.
AT that age most likely cause if fibromuscluar hyperplasia and if renin coming from that kidney is high then ballon angioplasty with stent may work. If due atherosclerosis recommend medical management esp if you have not had a renal vein renin study.
Dr. Clarence Grim
Dr. Clarence Grim
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Dr. Michael Korona
Radiology - Interventional

In brief: Medicine or stent

Medical management until stent needed.
Don't go to stent too early. May not need stent if kidney already damaged.

In brief: Medicine or stent

Medical management until stent needed.
Don't go to stent too early. May not need stent if kidney already damaged.
Dr. Michael Korona
Dr. Michael Korona
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