Renal artery stenosis: the challenging in diagnosis and therapy
Journal: Ukrainian Journal of Nephrology and Dialysis (Vol.2, No. 66)Publication Date: 2020-04-26
Authors : Ivana P. Dewi; Kristin P. Dewi; N. Mardiana;
Page : 32-39
Keywords : renal artery stenosis; diagnosis; therapy;
Abstract
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.
Other Latest Articles
- Methicillin-resistant staphylococcus aureus carriage and comorbidity in patients with chronic kidney disease V D stage: a 3-year prospective study
- Analysis of association between long non-coding RNA HOTAIR gene rs1899663 polymorphism and disease-free survival in kidney cancer patients
- Prevalenceof abdominal aortic aneurysm among stage 3-4 chronic kidney disease patients aged 55 years and older
- PREREQUISITES FOR VENTURE INVESTMENT DECISION MAKING
- ACCOUNTING FOR THE COSTS OF PROVIDING SOCIAL SERVICES IN ENSURING THE EFFECTIVENESS OF BUDGET PROCESSES
Last modified: 2021-01-25 23:18:24