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Renal Artery Stenosis: State of the Art in the Diagnosis and Management

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Kidney Disease in the Cardiac Catheterization Laboratory

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Abstract

Renal artery stenosis as defined by narrowing of one or more of the renal arteries by more than 50%, can cause significant morbidity and mortality in those patients predisposed to atherosclerotic disease. Clinical manifestations include recurrent pulmonary edema, unstable angina, renovascular hypertension, and ischemic nephropathy, which are associated with worse patient outcomes. While non-invasive methods such as duplex ultrasound and computed tomography can diagnose renal artery stenosis, invasive angiography remains the gold standard. Medical therapy is sufficient in a majority of patients; however a small subset of patients will benefit from an invasive approach. We will review the data underlying decision making strategies in this high risk patient cohort.

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Author information

Authors and Affiliations

  1. Division of Cardiology, Center for Interventional Vascular Therapy, Columbia University Irving Medical Center, New York Presbyterian Hospital, New York, NY, USA

    Sanjum S. Sethi & Sahil A. Parikh

Authors
  1. Sanjum S. Sethi
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  2. Sahil A. Parikh
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Corresponding author

Correspondence to Sahil A. Parikh .

Editor information

Editors and Affiliations

  1. Einstein Medical Center/Thomas Jefferson University, Department of Medicine/Nephrology, Philadelphia, PA, USA

    Janani Rangaswami

  2. UIC/Advocate Christ Medical Center, Department of Medicine, Chicago, Il, USA

    Edgar V. Lerma

  3. Baylor University Medical Center, Baylor Heart and Vascular Hospital, Department of Internal Medicine, Texas A & M College of Medicine, Division of Cardiology, Dallas, TX, USA

    Peter A. McCullough

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Sethi, S.S., Parikh, S.A. (2020). Renal Artery Stenosis: State of the Art in the Diagnosis and Management. In: Rangaswami, J., Lerma, E., McCullough, P. (eds) Kidney Disease in the Cardiac Catheterization Laboratory . Springer, Cham. https://doi.org/10.1007/978-3-030-45414-2_20

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  • DOI: https://doi.org/10.1007/978-3-030-45414-2_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45413-5

  • Online ISBN: 978-3-030-45414-2

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