Endovascular treatment
نویسندگان
چکیده
a. At 5 years (median 34 months), correction of renal artery stenosis (RAS), by balloon angioplasty with or without stenting (no distal protection) has no beneficial effect on blood pressure (BP) compared with medical therapy and is associated with an adverse event rate of 10–25%. (Level I Evidence) b. At 5 years (median 34 months), correction of RAS, by balloon angioplasty with or without stenting (no distal protection) does not improve kidney function (glomerular filtration rate) more than medical therapy. (Level I Evidence) c. Stenting of the artery (particularly ostial lesions) is technically better than angioplasty alone. (Level II Evidence) d. Surgical management of atherosclerotic renal vascular disease (ARVD) has not been shown to be better than either angioplasty or medical therapy in patients with atherosclerotic RAS. (Level II Evidence)
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