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Stent Placement

Your healthcare provider will figure out the best treatment for you based on:

  • How old you are
  • Your overall health and medical history
  • How sick you are
  • How well you can handle specific medicines, procedures, or therapies
  • How long the condition is expected to last
  • Your opinion or preference

Treatment will also vary depending on the type of renal vascular disease that is present.

Type of renal vascular disease

Treatment

Renal artery stenosis

Medical treatment:

  • Blood pressure lowering medicines other than ACE inhibitors may be used to treat high blood pressure.
  • Medicines to lower cholesterol may be prescribed for atherosclerosis.
  • Treatment of related medical conditions such as diabetes.

Surgical treatment:

  • Endovascular procedures such as angioplasty (the opening of a renal artery using a balloon or other method) or placement of a stent (a tiny, expandable metal coil placed inside an artery to keep the artery open).
  • Open surgery to bypass the blocked renal artery.

Renal artery thrombosis

In acute cases, thrombolytic (clot-busting) medicine may be infused into the renal artery for several hours to several days to break up the clot.

Surgery to remove the clot or bypass the artery may be done in some situations.

Renal artery aneurysm

Treatment of a renal artery aneurysm depends on symptoms and the size and location of the aneurysm. Some smaller aneurysms may not be treated, but may be watched for growth or problems.

Surgery may be used to treat larger, tearing, or growing aneurysms. It may also be used for aneurysms causing lack of blood flow to the kidney and high blood pressure, and aneurysms causing symptoms.

Because of the increased risk for rupture (bursting), a renal artery aneurysm in a pregnant woman or a woman of childbearing age will generally be treated with surgery.

Atheroembolic renal disease

Treatment may include medicines to lower cholesterol, blood pressure, and treat other related conditions, such as diabetes.

Diet and exercise are urged to lower blood pressure. Avoid foods high in fats and salt.

Surgical treatment may include:

  • Endovascular procedures such as angioplasty (the opening of a renal artery using a balloon or other method) or placement of a stent (a tiny, expandable metal coil placed inside an artery to keep the artery open).
  • Open surgery to bypass the blocked renal artery.

Renal vein thrombosis

Renal vein thrombosis is generally treated with an anticoagulant, which keeps the blood from clotting. They may be given intravenously (IV) for several days, then given by mouth for a few weeks or more.