Related Questions

What are some alternative treatments for renal artery stenosis?

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. Read more...
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. Read more...
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. Read more...
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. Read more...
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. Read more...

What are the treatments for renal artery stenosis?

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

What are some treatments for renal artery stenosis?

See below. Renal artery stenosis is narrowing of the kidney arteries most commonly due to cholesterol plaques accumulating inside the walls of the blood vessel.There are other causes as well. A cathetor can be inserted into the blood vessel and a balloon can be inflated to restore the lumen size. A stent is inserted to keep it open.There are surgical options in special circumstances, . Read more...
Meds or Stenting. The optimal treatment of hypertension due to unilateral atherosclerotic renal artery stenosis depends the ability to control the hypertension medically, the location of the stenotic lesion, and patient preference. Revascularization is considered if there is strong suggestive evidence that the renal artery stenosis is a major contributor to hypertension. Read more...

I need angioplasty for renal artery stenosis treatment how long should I take off work for?

2-3 days. If all goes well, day of procedure and next day. Read more...
If indicated. The indication for this has been questioned but if its apropiate then a few days at best to let the groin heal up snd your fine. Read more...

What problems does renal artery stenosis typically cause?

Hypertension. Reduced renal blood flow causes the kidney to produce excess renin which causes hypertension. Most cases of stenosis can be managed by interventional radiologists placing a stent. Read more...
Hypertension. Renal artery stenosis usually causes elevation of the blood pressure and can result in kidney failure, both directly and indirectly. Taking ace inhibitors or angiotensin receptor blockers can worsen renal function if you have renal artery stenosis. Read more...

Can you tell me if there are non-surgical options for renal artery stenosis?

BP Medicines. The non surgical options likely will include having to take multiple blood pressure medicines. The renal artery stenosis causes an increase in blood pressure, so the hypertension must be controlled or your kidneys could fail. Read more...
Medicine. Hypertension management with medicine. No smoking. Statin therapy if bad cholesterol. Keep checking kidney function by your doctor. Read more...

Should renal artery stenosis be treated using stenting or bypass?

Depends. If the artery is suitable for stenting, that is much simpler and less invasive, done through a 2mm hole in your groin under local anesthesia. Surgery requires an extensive abdominal surgery, clamping the aorta, tying off the renal artery, cutting it off and re-implanting it on the aorta. Renal artery stenosis can lead to difficult to control bp, decreased kidney function and flash pulmonary edema. Read more...
Neither, sometimes. The value of revascularizing renal artery stenosis remains quite uncertain. In patients requiring multiple drugs for blood pressure control, after stenting there may be a small decrease in the number of pills needed. Clinical trials to address these questions have not given a clear answer yet. Read more...
Rx of renal art sten. 33 asks Should renal artery stenosis (RAS) be treated by stenosis or bypass. RAS should only be treated if it is cause of high blood pressure, Only reliable way to tell is to collect blood from veins draining each kidney and measure hormone renin. If stenotic side side has high renin & meds fail to control BP then repair depends on what is causing blockage and how bad it is. I specialize in this. Read more...

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

What questions should I ask the doctor after being diagnosed with renal artery stenosis?

Amount of stenosis? Is my blood pressure under control? Is my renal function ok? Do i need a stent? Do I have heart disease? Do I have pad? Do I have carotid artery disease? Do i need vascular screening? How do I fix my risk factors? Read more...