Renal artery stenosis of solitary kidney: The dilemma

Leonid Feldman, Ilia Beberashvili, Zhan Averbukh, Joshua Weissgarten

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Renal artery stenosis is an important cause of hypertension and renal failure. When present in a solitary kidney, it is associated with extremely high morbidity and mortality. Although guidelines suggest an aggressive approach by revascularization in these cases, available evidence is too weak and contradictory to provide definite recommendations for treatment. Objectives. To discuss the various clinical factors predicting the benefit from revascularization. Methods and Results. Review of more recent clinical trials is presented. Discussion. The approach to the patient with single kidney and renal artery stenosis is discussed and, although there is insufficient evidence-based medicine for guidelines, some suggestions are made to predict revascularization results in these cases. Conclusion. Continuous development of clinical prediction rules will help in the management of renal artery stenosis of solitary kidney.

Original languageEnglish
Pages (from-to)525-529
Number of pages5
JournalRenal Failure
Volume26
Issue number5
DOIs
StatePublished - 2004

Keywords

  • Hypertension
  • Ischemic nephropathy
  • Renal artery stenosis
  • Renal failure
  • Solitary kidney
  • Stenting

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