Management of Renovascular Hypertension

Tech Vasc Interv Radiol. 2016 Sep;19(3):211-7. doi: 10.1053/j.tvir.2016.06.006. Epub 2016 Jun 3.

Abstract

Renal artery stenosis is a potentially reversible cause of hypertension, and transcatheter techniques are essential to its treatment. Angioplasty remains a first-line treatment for stenosis secondary to fibromuscular dysplasia. Renal artery stenting is commonly used in atherosclerotic renal artery stenosis, although recent trials have cast doubts upon its efficacy. Renal denervation is a promising procedure for the treatment of resistant hypertension, and in the future, its indications may expand.

Keywords: Angioplasty; Fibromuscular dysplasia (FMD); Renal artery denervation; Renal artery stenosis (RAS); Renovascular hypertension; Stenting.

Publication types

  • Review

MeSH terms

  • Aged
  • Angiography, Digital Subtraction
  • Angioplasty* / adverse effects
  • Angioplasty* / instrumentation
  • Blood Pressure
  • Catheter Ablation* / adverse effects
  • Computed Tomography Angiography
  • Female
  • Fibromuscular Dysplasia / complications
  • Humans
  • Hypertension, Renovascular / diagnostic imaging
  • Hypertension, Renovascular / etiology
  • Hypertension, Renovascular / physiopathology
  • Hypertension, Renovascular / therapy*
  • Kidney / blood supply*
  • Magnetic Resonance Angiography
  • Male
  • Predictive Value of Tests
  • Radiography, Interventional / adverse effects
  • Radiography, Interventional / instrumentation
  • Radiography, Interventional / methods*
  • Renal Artery / diagnostic imaging
  • Renal Artery / innervation*
  • Renal Artery / physiopathology
  • Renal Artery Obstruction / diagnostic imaging
  • Renal Artery Obstruction / etiology
  • Renal Artery Obstruction / physiopathology
  • Renal Artery Obstruction / therapy*
  • Risk Factors
  • Stents
  • Sympathectomy / adverse effects
  • Sympathectomy / methods*
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex
  • Vascular Patency