SHA 066. Catheter-based diagnosis of incidental renal artery stenosis in hypertensive-Saudi patients

Renal Artery Stenosis in the Hypertensive Patient

• Objective: To review the diagnostic approach and therapeutic options for renal artery stenosis (RAS) in the patient with hypertension. • Methods: Qualitative assessment of the literature. • Results: RAS is a common secondary cause of hypertension. Factors associated with an increased risk for RAS have been identified. A useful diagnostic approach for evaluating the hypertensive patient at inc...

Catheter-based therapy for atherosclerotic renal artery stenosis.

The prevalence of atherosclerotic renal artery stenosis (RAS) is more common than was previously thought, particularly in patients with known coronary, cerebrovascular, or peripheral vascular atherosclerosis. Clinical subsets in which RAS is more common include patients with uncontrolled hypertension, renal insufficiency, and/or sudden onset ("flash") pulmonary edema. Renal artery atheroscleros...

renal artery stenosis and its predictors in hypertensive patients undergoing coronary artery angiography

Hypertensive encephalopathy complicating transplant renal artery stenosis.

A 26-year-old female diabetic patient developed hypertensive encephalopathy with gross neurological abnormalities complicating renal artery stenosis of her transplant kidney. The elevated blood pressure was unresponsive to medical treatment. Surgical correction of the stenoses in the renal artery cured the hypertension and renal failure and led to the patient's complete recovery.

Progressive hypertension in a patient with "incidental" renal artery stenosis.

Case A 63-year-old man was referred for progressive hypertension and previously identified, incidental renal artery stenosis. Three years earlier, he underwent a 4-vessel coronary artery bypass (CABG). A year later, recurrent chest symptoms led to repeat coronary angiography, which identified patent bypass grafts except for one vein-graft occlusion. No coronary interventional procedures were un...