Renal artery stenosis
From IDWiki
Differential Diagnosis
- Atherosclerotic disease
- Fibromuscular dysplasia
Clinical Manifestations
- systolic/diastolic bruit
- short duration
- refractory hypertension
- progressive renal dysfunction
- recurrent flash pulmonary edema
Management
- Maximize medical management, being careful with ACEi/ARB
Indications for Surgery
- Flash pulmonary edema
- Progressive renal dysfunction
- Refractory hypertension despite maximally-tolerated medical management
