Chronic Renal Failure due to Atheromatous Renovascular Disease in the Elderly

Corradi, Bruno; Malberti, Fabio; Farina, Marco; Cosci, Pablo; Imbasciati, E; Raieli, Giuseppina; Calliada, Fabrizio

doi:10.1159/000422490

Cited by 11 publications

(3 citation statements)

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“…Ischaemic nephropathy is currently a major public health issue in atherosclerotic populations 2,3 . Several prospective studies have estimated that renal artery stenosis, an increasingly common cause of renal insufficiency and end‐stage renal disease, is present in 5−22% of patients >50 years old with advanced renal failure 4−6 …”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of renal artery stenosis in Chinese patients with coronary artery disease

Wang

Chen

et al. 2003

Internal Medicine Journal

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Clinically silent yet angiographically significant ARAS is common among CAD patients. The prevalence and predictors of ARAS among Chinese patients with CAD are similar to those reported for Caucasian subjects. Underlying ARAS should be suspected in CAD patients with such comorbidities as hypertension, renal insufficiency, extracranial cerebrovascular disease, and more so in the elderly and those with multivessel disease.

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Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of renal artery stenosis in Chinese patients with coronary artery disease

Wang

Chen

et al. 2003

Internal Medicine Journal

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“…In a study of non‐diabetic patients aged > 60 yearswith arterial disease, renal impairment, subnephrotic proteinuriaand asymmetric renal shrinkage, over 50% of patients werefound to have > 75% renal artery stenosison at least one side, and 20% of these cases had bilateraldisease [41]. Similarstudies have not been undertaken in patients with diabetes.…”

Section: Whichdiabetic Patients Should Be Investigated For Arvd?mentioning

confidence: 99%

“…Recently there has been a growing awareness of renal ischaemiasecondary to atherosclerosis as a cause of renal failure in thenon‐diabetic population [1]. This has partly resulted from the ageing of the dialysis population,with widespread acceptance of patients into their 70s and 80s ondialysis programmes.…”

Section: Introductionmentioning

confidence: 99%

The impact of atherosclerotic renovascular disease on diabetic renal failure

Nicholls

2002

Diabetic Medicine

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Atherosclerotic renovascular disease (ARVD) is common in the general population, and its prevalence increases with age. Parallel studies show it is also common in patients with diabetes. The widespread use of angiotensin converting enzyme inhibitors and angiotensin receptor antagonists for heart and kidney disease might therefore expose arteriopathic diabetic patients to potential harm if they had critical renal artery stenosis. This review looks at the natural history of ARVD in the diabetic and non-diabetic populations: while it is common, it only rarely leads to renal failure. Hence intervention to revascularize ischaemic kidney son the basis of radiological appearances alone may subject some patients to unnecessary therapy. Although untested by randomized trial, a policy of watchful waiting may be the simplest strategy for most diabetic patients with suspected ARVD, reserving angiography and angioplasty (usually backed up by a stent) for those with an abrupt decline in renal function and no other cause for renal deterioration. Future clinical trials may better define subgroups of patients who will truly benefit from renal revascularization.

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Tissue Histopathologic Injury in Renovascular Occlusive Disease

Gloviczki

Textor

2014

Renal Vascular Disease

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Chronic Renal Failure due to Atheromatous Renovascular Disease in the Elderly

Cited by 11 publications

References 0 publications

Prevalence and predictors of renal artery stenosis in Chinese patients with coronary artery disease

Prevalence and predictors of renal artery stenosis in Chinese patients with coronary artery disease

The impact of atherosclerotic renovascular disease on diabetic renal failure

Tissue Histopathologic Injury in Renovascular Occlusive Disease

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