Abstract

RIVAS-GODOY, Alexis Francisco; LOPEZ-GARCIA, Haroldo Arturo; MARADIAGA-REYES, Elvia Fabiola  and  AGUILAR-GUDIEL, Keyvi Jeanette. Renal artery stenosis due to fibromuscular dysplasia. Med. interna Méx. [online]. 2019, vol.35, n.1, pp.171-176. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i1.2069.

Renal artery stenosis (RAS) is a clinical entity that can be asymptomatic or cause systemic arterial hypertension likewise spoil the renal function of one or both kidneys. The stenosis can be caused by atherosclerosis in 90% of the cases and by fibromuscular dysplasia in 10%; the stenosis of the renal artery is the main cause of reversible or modifiable secondary hypertension if it is diagnosed and treated before the renal damage. Fibromuscular dysplasia is an indication for percutaneous angioplasty achieving blood pressure control in up to 63% without antihypertensive drugs. The objective of this paper is to show the complexity of the diagnostic process and the importance of the clinical suspicion for the well-timed correction of this type of arterial hypertension.

Keywords : Renal artery stenosis; Arterial hypertension; Atherosclerosis; Fibromuscular dysplasia.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )