Diseases of the renal arteries

摘要

abstract_textpRenal artery diseases are rare, but seen more often in the last years due to demographic changes and increasing non invasive diagnostics. There are different types of pathologies involving the renal arteries. The clinical manifestation is mostly hypertension or renovascular insufficiency. The main indication for endovascular therapy is hypertension, especially in young patients with fibromuscular stenosis and in elderly patients with progressive atherosclerotic stenosis with severe hypertension. The surgical therapy is left for complex reconstructions, for aneurysm resection and for simultaneous renal and aortic revascularizations in elderly patients with a high comorbidity. The indication for surgical therapy is mostly renovascular insufficiency or rather organ preservation. The different therapeutic procedures, endovascular or surgical, are demonstrated according to outcome, complications and evidence./p/abstract_text