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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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  INTERVENTIONAL INNOVATION NOVEL THERAPIES AND THE BEST NEW DEVICE CONCEPT FOR 2013


Minerva Cardioangiologica 2013 April;61(2):189-99

language: English

Renal artery stenting: indications, techniques, and devices

Erwin P. A. 1, Shishehbor M. H. 2

1 Cardiovascular Institute Mount Sinai School of Medicine New York, NY, USA;
2 Department of Cardiovascular Medicine Heart and Vascular Institute Cleveland Clinic, Cleveland, OH, USA


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Renal artery stenosis is a prevalent condition that has been implicated in the pathogenesis of renovascular hypertension, chronic kidney disease, and cardiac disturbance syndromes. The most common causes of renal artery stenosis are atherosclerosis and fibromuscular dysplasia. Endovascular revascularization of renal artery stenosis is controversial, but may have significant benefits for treatment of renovascular symptoms in carefully selected patients. In this review, we evaluate the literature and discuss indications for endovascular revascularization of renal artery stenosis. Technical aspects of renal artery stenting are addressed, including methods to avoid procedural complications and use of embolic protection devices. The role of drug eluting stents is examined, as are approaches to the detection and treatment of in-stent restenosis.

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shishem@gmail.com