Renal artery stenosis Flashcards
1
Q
Definition
A
Blockage of the major blood supply to the kidney
2
Q
Causes
A
Atherosclerosis
Reno vascular disease
3
Q
Who gets it?
A
Older patients
Males
People with risk factors for atherosclerosis
4
Q
It is usually unilateral. True or false?
A
True
5
Q
Pathogenesis
A
Severe narrowing of the renal artery
6
Q
Clinical features
A
Renovascular hypertension AKI after treatment of hypertension CKD Flash pulmonary oedema Atherosclerotic disease elsewhere
7
Q
Examination
A
Abdominal bruits
8
Q
Investigations
A
US
CT
MRI angiogrphy
9
Q
Management
A
Statin Anti-platelet ACE inhibitor - be careful with this Stenting
10
Q
ACE inhibitors cannot be used at all in renal artery stenosis. True or false?
A
False
- used in unilateral
- not used in bilateral