Renal Artery Stenting in Patient with Single kidney with Stable Angina

Md. Moniruzzaman; Moh. Reza J. Pasciolly; Ajaya Raj Upadhyay Paudel; Nishith Chandra; Atul Mathur; Ashok Seth

Volume : VIII, Issue : VI, June - 2019

Renal Artery Stenting in Patient with Single kidney with Stable Angina

Md. Moniruzzaman, Moh. Reza J. Pasciolly, Ajaya Raj Upadhyay Paudel, Nishith Chandra, Atul Mathur, Ashok Seth

Abstract :

Renal artery stenosis (RAS) is a frequently encountered problem in clinical practice. The disease encompasses a oad spectrum of pathophysiologies and is associated with three major clinical syndromes: ischemic nephropathy, hypertension, and destabilizing cardiac syndromes. The two most common etiologies are fiomuscular dysplasia and atherosclerotic renal artery disease with atherosclerotic disease accounting for the vast majority of cases. Atherosclerotic renovascular disease has considerable overlap with atherosclerotic disease elsewhere and is associated with a poor prognosis. A wide range of diagnostic modalities and treatment approaches for RAS are available to clinicians, and with the advent of endovascular interventions, selecting the best course for a given patient has only grown more challenging. Several clinical trials have demonstrated some benefit with revascularization but not to the extent that many had hoped for or expected.