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Ischemic nephropathy

J A Breyer1, H R Jacobson

  • 1Vanderbilt University Medical Center, Nashville, Tennessee.

Current Opinion in Nephrology and Hypertension
|March 1, 1993
PubMed
Summary
This summary is machine-generated.

Atherosclerotic renal artery stenosis causes ischemic renal disease, a growing health concern. Diagnosis and treatment options range from medical management to surgical intervention.

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Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Diagnostic Imaging

Background:

  • Ischemic renal disease due to atherosclerotic renal artery stenosis is a significant health issue.
  • Atherosclerotic renal artery stenosis progresses rapidly, potentially leading to end-stage renal disease.
  • Early detection and management are crucial for preserving renal function.

Purpose of the Study:

  • To review the current understanding of atherosclerotic renal artery stenosis.
  • To discuss diagnostic modalities for renal artery stenosis.
  • To outline therapeutic strategies for managing ischemic renal disease.

Main Methods:

  • Review of existing literature on atherosclerotic renal artery stenosis.
  • Discussion of diagnostic tools including renal arteriography, captopril renography, nuclear magnetic resonance angiography, and duplex scanning.

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  • Analysis of treatment options: medical management, percutaneous angioplasty, and surgical revascularization.

    • Main Results:

    • Renal arteriography remains the gold standard for diagnosing renal artery stenosis.
    • Emerging screening tests like captopril renography, NMR angiography, and duplex scanning show promise.
    • Multiple therapeutic avenues exist, offering tailored treatment based on patient factors.

    Conclusions:

    • Atherosclerotic renal artery stenosis is a prevalent condition with serious renal consequences.
    • A combination of diagnostic and therapeutic approaches is necessary for effective patient care.
    • Continued research into screening and treatment will improve outcomes for ischemic renal disease.