Scribd Logo
Fazer o upload

Bem-vindo(a) ao Scribd!

  • (Cardiologist) Renal Stenosis-Kuliah

    Enviado por

    Irham Khairi
    15 visualizações10 páginas
    The document discusses atherosclerosis of renal artery stenosis (ARAS). It notes ARAS can cause hypertension, renal impairment, and renal failure. Diagnosis involves vascular imaging like CTA, MRA, renal duplex, or selective angiography. Treatment with renal artery stenting is indicated for patients with resistant hypertension, renal impairment, renal atrophy, angina, or heart failure who have at least a 60% stenosis seen on angiography. Hemodynamic criteria for stenting include a pressure gradient of at least 20mmHg, peak systolic velocity of over 180cm/s, or renal-aortic ratio over 3.5. The Palmaz stent is mentioned for use in renal stenting procedures.

    Descrição original:

    Título original

    (Cardiologist) Renal Stenosis-kuliah

    Direitos autorais

    © Attribution Non-Commercial (BY-NC)

    Formatos disponíveis

    PPT, PDF, TXT ou leia online no Scribd

    Você considera este documento útil?

    Este conteúdo é inapropriado?

    Denunciar este documento
    The document discusses atherosclerosis of renal artery stenosis (ARAS). It notes ARAS can cause hypertension, renal impairment, and renal failure. Diagnosis involves vascular imaging like CTA, MRA, renal duplex, or selective angiography. Treatment with renal artery stenting is indicated for patients with resistant hypertension, renal impairment, renal atrophy, angina, or heart failure who have at least a 60% stenosis seen on angiography. Hemodynamic criteria for stenting include a pressure gradient of at least 20mmHg, peak systolic velocity of over 180cm/s, or renal-aortic ratio over 3.5. The Palmaz stent is mentioned for use in renal stenting procedures.

    Direitos autorais:

    Attribution Non-Commercial (BY-NC)
    Baixe no formato PPT, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    15 visualizações10 páginas

    (Cardiologist) Renal Stenosis-Kuliah

    Enviado por

    Irham Khairi
    The document discusses atherosclerosis of renal artery stenosis (ARAS). It notes ARAS can cause hypertension, renal impairment, and renal failure. Diagnosis involves vascular imaging like CTA, MRA, renal duplex, or selective angiography. Treatment with renal artery stenting is indicated for patients with resistant hypertension, renal impairment, renal atrophy, angina, or heart failure who have at least a 60% stenosis seen on angiography. Hemodynamic criteria for stenting include a pressure gradient of at least 20mmHg, peak systolic velocity of over 180cm/s, or renal-aortic ratio over 3.5. The Palmaz stent is mentioned for use in renal stenting procedures.

    Direitos autorais:

    Attribution Non-Commercial (BY-NC)
    Baixe no formato PPT, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    de 10

    Atheroslerosis of Renal Artery Stenosis

    Symptomatology of ARAS

    Vascular bed
    Carotid Coronary Subclavian Lower extremity

    Symptom
    TIA, Cerebral infarction Chest pain, MI Dizziness, Syncope, Claudication Claudication, Rest pain, Tissue loss

    Specific

    Renal

    Hypertension, Renal impairment

    Nonspecific

    Clinical Consequence of Renal Artery Stenosis Renal ischemia

    Renovascular hypertension

    Renal impairment

    HypertensionRenal failure Pulmonary edema, Unstable angina

    Atherosclerotic Renal Disease


    68 y/o female Resistant HT DM Critical limb ischemia

    Intrarenal atherosclerosis

    Cortical thinning

    Renal artery stenosis

    Anatomical Classification

    Unilateral

    Bilateral

    Solitary

    Diagnosis of ARAS

    Vascular Imaging
    CTA Aortagraphy Renal duplex

    MRA

    Selective angiography

    PSV Pre & Post Intervention


    Pre
    230cm/s

    Post
    80cm/s

    Indication for Renal Artery Stenting


    Clinical
    Resistant hypertension
    Renal impairment Renal atrophy Angina Heart failure 60% stenosis

    Angiographic

    Hemodynamic
    20mmHg PSV 180cm/s RAR 3.5

    Revascularization is indicated

    Renal Stent: Palmaz

    Você também pode gostar