How to best manage a patient with renal artery stenosis?

In summary, each elderly patient with signficant atherosclerotic renal artery stenosis must be evaluated individually, bearing in mind that the presence of renal failure and hypertension is not synonymous with a sine qua non indication for a risky invasive procedure, particularly when the renal functions are stable and the blood pressure is controlled. We cannot recommend firm and clear-cut guidelines but we can certainly mention once again that a good integration of experience, prudence, common sense, interpretation of clinical, laboratory and radiologic data, as well as the patient's agreement, remain fundamental for an appropriate medical decision.