New diagnostic and treatment strategies in renal artery stenosis: a promising pursuit or disappointment foretold?
Neth J Med
; 78(5): 232-238, 2020 09.
Article
en En
| MEDLINE
| ID: mdl-33093246
ABSTRACT
Clinical management of renal artery stenosis has seen a major shift, after randomised clinical trials have shown no group benefit of endovascular intervention relative to optimal medical control. However, the inclusion criteria of these trials have been criticised for focusing on a subset of patients with atherosclerotic renal artery stenosis where intervention was unlikely to be beneficial. Moreover, new imaging and computational techniques have become available, which have the potential to improve identification of patients that will respond to interventional treatment. This review addresses the challenges associated with clinical decision making in patients with renal artery stenosis. Opportunities for novel diagnostic techniques to improve patient selection are discussed, along with ongoing Dutch studies and network initiatives that investigate these strategies.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Obstrucción de la Arteria Renal
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Neth J Med
Año:
2020
Tipo del documento:
Article
País de afiliación:
Países Bajos