Renovascular Disease and Mesenteric Vascular Disease

Swapna Sharma; Stanislav Henkin; Michael N Young

doi:10.1016/j.ccl.2021.06.005

Renovascular Disease and Mesenteric Vascular Disease

Cardiol Clin. 2021 Nov;39(4):527-537. doi: 10.1016/j.ccl.2021.06.005.

Authors

Swapna Sharma¹, Stanislav Henkin², Michael N Young³

Affiliations

¹ The Elliot Hospital, 1 Elliot Way, Manchester, NH 03103, USA.
² Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA.
³ Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA. Electronic address: Michael.N.Young@hitchcock.org.

PMID: 34686265
DOI: 10.1016/j.ccl.2021.06.005

Abstract

Renal artery stenosis is caused by atherosclerosis and fibromuscular dysplasia and is associated with ischemic nephropathy, renovascular hypertension, and accelerated cardiovascular disease. Routine screening for renal artery stenosis is not recommended but is reasonable in patients who have rapid onset of hypertension, resistant hypertension, progressive renal insufficiency, recurrent pulmonary edema, or repeat admissions for heart failure. Acute mesenteric ischemia is caused by arterial embolism or thrombosis, mesenteric venous thrombosis, or nonocclusive mesenteric ischemia, whereas chronic mesenteric ischemia is most often caused by arterial obstruction. This article reviews the epidemiology, pathophysiology, diagnosis, and management of these two conditions.

Keywords: Fibromuscular dysplasia; Mesenteric ischemia; Renal artery stenosis; Renovascular hypertension.

Publication types

Review

MeSH terms

Atherosclerosis*
Fibromuscular Dysplasia*
Humans
Hypertension*
Hypertension, Renovascular*
Renal Artery Obstruction* / complications
Renal Artery Obstruction* / diagnosis
Renal Artery Obstruction* / epidemiology