TY - JOUR
T1 - Renal artery stenosis
T2 - the challenging in diagnosis and therapy
AU - Dewi, Ivana P.
AU - Dewi, Kristin P.
AU - Mardiana, N.
N1 - Publisher Copyright:
© 2020, National Kidney Foundation of Ukraine. All rights reserved.
PY - 2020/5/17
Y1 - 2020/5/17
N2 - 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.
AB - 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.
KW - diagnosis
KW - renal artery stenosis
KW - therapy
UR - http://www.scopus.com/inward/record.url?scp=85193958145&partnerID=8YFLogxK
U2 - 10.31450/ukrjnd.2(66).2020.05
DO - 10.31450/ukrjnd.2(66).2020.05
M3 - Article
AN - SCOPUS:85193958145
SN - 2304-0238
VL - 66
SP - 32
EP - 39
JO - Ukrainian Journal of Nephrology and Dialysis
JF - Ukrainian Journal of Nephrology and Dialysis
IS - 2
ER -