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open access

Vol 20, No 1 (2013)
Review Article
Submitted: 2013-02-12
Published online: 2013-02-07
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Controversies in the management of the renal artery stenosis

Khalil Kanjwal, Vincent M. Figueredo
DOI: 10.5603/CJ.2013.0003
·
Cardiol J 2013;20(1):11-16.

open access

Vol 20, No 1 (2013)
Review articles
Submitted: 2013-02-12
Published online: 2013-02-07

Abstract

Optimal management of renal artery stenosis has continued to remain elusive. The previous non randomized studies and registry data suggested a benefit of renal artery stenting. However, the recently completed randomized studies comparing renal stenting to medical management failed to show any benefit. These studies had some flaws in their design and methodology. In an appropriately selected patient population renal artery stenting may have a role. In addition, there might be some role of adjunctive therapies like antiplatelet medications and embolic protection. This review summarizes the current literature on this controversial topic.

Abstract

Optimal management of renal artery stenosis has continued to remain elusive. The previous non randomized studies and registry data suggested a benefit of renal artery stenting. However, the recently completed randomized studies comparing renal stenting to medical management failed to show any benefit. These studies had some flaws in their design and methodology. In an appropriately selected patient population renal artery stenting may have a role. In addition, there might be some role of adjunctive therapies like antiplatelet medications and embolic protection. This review summarizes the current literature on this controversial topic.

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Keywords

kidney; renal artery stenosis; stenting

About this article
Title

Controversies in the management of the renal artery stenosis

Journal

Cardiology Journal

Issue

Vol 20, No 1 (2013)

Article type

Review Article

Pages

11-16

Published online

2013-02-07

Page views

1893

Article views/downloads

2219

DOI

10.5603/CJ.2013.0003

Bibliographic record

Cardiol J 2013;20(1):11-16.

Keywords

kidney
renal artery stenosis
stenting

Authors

Khalil Kanjwal
Vincent M. Figueredo

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