Renal artery stenosis

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Differential Diagnosis

  • Atherosclerotic disease
  • Fibromuscular dysplasia

Clinical Presentation

  • 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
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