University of Toledo, OH 43606, USA.
Prog Cardiovasc Dis. 2011 Jul-Aug;54(1):29-35. doi: 10.1016/j.pcad.2011.02.007.
Renal artery stenosis (RAS) is the most commonly caused by atherosclerosis, with fibromuscular dysplasia being the most frequent among other less common etiologies. A high index of suspicion based on clinical features is essential for diagnosis. Revascularization strategies are currently a topic of discussion and debate. When revascularization is deemed appropriate, atherosclerotic RAS is most often treated with stent placement, whereas patients with fibromuscular dysplasia are usually treated with balloon angioplasty. Ongoing randomized trials should help to better define the optimal management of RAS.
肾动脉狭窄（RAS）最常见的病因是动脉粥样硬化，而纤维肌性发育不良是其他较不常见病因中最常见的。基于临床特征的高度怀疑对于诊断至关重要。血管重建策略目前是讨论和争论的话题。当认为需要血管重建时，动脉粥样硬化性 RAS 通常采用支架置入治疗，而纤维肌性发育不良患者通常采用球囊血管成形术治疗。正在进行的随机试验应该有助于更好地定义 RAS 的最佳治疗方法。
