Open AccessRenal artery stenosis: the challenging in diagnosis and therapy
Author(s) -
Ivana Purnama Dewi,
Kristin Purnama Dewi,
Nunuk Mardiana
Publication year - 2020
Publication title -
ukraïnsʹkij žurnal nefrologìï ta dìalìzu
Language(s) - English
Resource type - Journals
eISSN - 2616-7352
pISSN - 2304-0238
DOI - 10.31450/ukrjnd.2(66).2020.05
Subject(s) - medicine , renovascular hypertension , renal artery stenosis , fibromuscular dysplasia , renal artery , radiology , angioplasty , secondary hypertension , magnetic resonance angiography , stenosis , percutaneous , population , angiography , cardiology , magnetic resonance imaging , kidney , blood pressure , environmental health
Hypertension is still the most prevalent non-communicable diseases in Indonesia. Renovascular hypertension is one type of secondary hypertension. It is commonly caused by the presence of renal artery stenosis (RAS). Whereas, atherosclerosis (ARAS) and fibromuscular disease (FMD) are the most common causes of RAS. Early diagnosis is necessary because it has the potential to be cured by eliminating stenosis of the renal artery. However, the signs and symptoms of renovascular hypertension are not specific. The supporting examination to diagnose RAS is also expensive. So, screening in the population at risk is needed. The examinations to prove the presence of RAS are arteriography, captopril renogram, renal ultrasonography, renal Doppler ultrasonography, magnetic resonance angiography (MRA), and computed angiographic tomography (CTA).
Until now, three therapeutic modalities can be selected in the management of renovascular hypertension; pharmacological therapy, surgical intervention, percutaneous intervention angioplasty with and without stenting. This narrative review summarizes the literature focused on the diagnosis and therapy of RAS.