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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Aneurysm III: Interprofessional Care01:26

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Peripheral Artery Disease III: Interprofessional Care01:27

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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A New Murine Model of Endovascular Aortic Aneurysm Repair
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Renal Artery Stenosis: When to Revascularize in 2017.

Jose D Tafur, Christopher J White

    Current Problems in Cardiology
    |March 23, 2017
    PubMed
    Summary

    Atherosclerotic renal artery stenosis causes secondary hypertension and kidney problems. Revascularization benefits selected patients with severe stenosis unresponsive to medical therapy.

    Area of Science:

    • Nephrology
    • Cardiology
    • Hypertension

    Background:

    • Atherosclerotic renal artery stenosis (ARAS) is a primary cause of secondary hypertension.
    • ARAS can lead to progressive renal insufficiency and severe cardiovascular events like heart failure.
    • Medical management is the initial treatment for all patients with ARAS.

    Purpose of the Study:

    • To review the role of medical therapy and revascularization in managing ARAS.
    • To discuss diagnostic modalities and the utility of invasive measurements.
    • To outline follow-up strategies for patients undergoing revascularization.

    Main Methods:

    • Literature review of ARAS diagnosis, treatment, and outcomes.
    • Analysis of current guidelines for medical and interventional management.

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  • Discussion of imaging techniques (Doppler ultrasonography, CT angiography, MR angiography) and physiological measurements.

    • Main Results:

    • Optimal medical therapy is the first-line treatment for ARAS.
    • Renal artery revascularization is indicated for specific patient groups with severe stenosis.
    • Screening and diagnostic imaging are crucial for identifying ARAS.
    • Invasive measurements aid in selecting patients who will benefit from revascularization.
    • Revascularization procedures demonstrate high primary patency rates (>80% at 5 years).

    Conclusions:

    • ARAS management requires a tailored approach combining medical therapy and, in select cases, revascularization.
    • Accurate diagnosis and patient selection are key to successful outcomes.
    • Long-term surveillance is necessary to monitor for in-stent restenosis after revascularization.