Renovascular hypertension can be treated effectively in nearly all patients with modern antihypertensive drugs. But medical therapy is accompanied by disadvantages such as lacking patient compliance, and side effects of the medication. Long-term medication — as necessary in younger patients — is expensive, and the reduced blood flow to the affected kidney is not improved. In the past vascular surgery was the treatment of choice in patients with renal artery stenosis with hyperreninemia and a short history of hypertension. Operative pain and risk, costs and an uncertain treatment result restricted vascular surgery to critically selected patients.
KeywordsRenal Artery Renovascular Hypertension Kidney Graft Fibromuscular Dysplasia Recurrent Stenosis
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