The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

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Renal Artery Stenosis - Review Upon Current Diagnosis and Endovascular Treatment in Light of Recent Studies

2015-02

Dana-Oliviana Geavlete, Carmen Beladan, Magda-Ruxandra Zaharia, Alice BrÓnzea, Dan Deleanu, Ionel A. Checheriță, Bogdan A. Popescu, Carmen Ginghină

Renal artery stenosis represents the main cause of secondary hypertension and, due to its progressive profile, leads to end-stage renal disease and important cardiovascular events (1). Despite the large number of trials in this particular field of interest, RAS therapy remains a complex challenge for clinicians with regard to interventional revascularization, eventually resulting in renal function preservation, improved blood pressure control (BP) and prevention of adverse cardiovascular events in selected patients (2).

In fact, the matter of debate is represented by the proper selection of patients which would benefit the most from renal revascularization with stent implantation, while also taking into account the outcomes of the recently emerging large clinical trials that were unable to confirm the clear benefits of endovascular therapy.

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