Treatment of Renal Artery Stenosis
Renal artery stenosis | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital
Best hospitals and doctors for renal artery stenosis treatment abroad
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According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
The Hospital St. Elisabeth Grevenbroich provides quality medical services in various medical fields. The special focus is on gastroenterology, oncology, general, abdominal and vascular surgery, gynecology, orthopedics and cardiology. As an academic facility, the hospital maintains close contacts with the University Hospital RWTH
Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
The Samsung Medical Center was founded in 1994 and soon won the reputation of a medical facility of presidential standards, which it still preserves today. The hospital has 40 departments, 10 specialized centers and a huge Cancer Center with 655 beds. The medical facility is equipped with advanced equipment (for example, a 32-ch
The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million local
The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into pract
According to the reputable Focus magazine, the Charite University Hospital Berlin ranks 1st among the best healthcare facilities in Germany! The hospital is one of the largest and leading university medical complexes in Europe, and also consistently holds leading positions in the international medical arena. The Charite operates
The Hannover Medical School has the status of a leading German medical facility. The advanced medical technologies, highly qualified specialists, as well as productive research activities form a solid basis for top-class medical service of the world standard. The hospital is proud of its outstanding achievements in the treatment
The Alfried Krupp Hospital in Essen-Ruettenscheid began its work back in 1870, and large-scale restoration took place here in 1980. The medical facility is an academic hospital of the University of Duisburg-Essen, thanks to which it has access to innovations in the medical field, and also makes its own contribution to the develo
According to the reputable Focus magazine, the Hospital Cologne-Merheim ranks among the top German medical centers! The health facility is an academic hospital of Witten/Herdecke University, which gives patients access to the very latest developments in European medicine. The Hospital Cologne-Merheim positions itself as a maximu
The Hirslanden Clinic La Colline Geneva is a multidisciplinary medical facility, where the patient will benefit from an impeccable quality of medical service, responsive care and a humane attitude. The clinic provides both inpatient treatment and outpatient care. There are 67 beds available for hospitalization. The basis of succ
The Baskent University Hospital Istanbul is a progressive medical complex, whose primary purpose is to provide medical care of the highest quality in a pleasant and comfortable environment. The hospital is part of the prestigious Turkish Baskent University Healthcare Group, whose outstanding achievements are known not only natio
According to the reputable Focus magazine, the Nuremberg Hospital ranks among the top German medical facilities! The hospital is one of the largest, highly specialized medical centers in Europe and positions itself as the maximum care hospital. The healthcare facility is an academic hospital of the Paracelsus Medical University
The Marienhaus Hospital St. Elisabeth Neuwied is an advanced health facility with an excellent reputation in the national medical arena. It is the largest medical complex in the state of Rhineland-Palatinate. The Marienhaus Hospital St. Elisabeth Neuwied is an academic hospital of Johannes Gutenberg University Mainz and an acade
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Renal artery stenosis is narrowing of one or both renal arteries which carry blood to kidneys. It is usually accompanied by reduction of renal perfusion. Also during this disease kidneys do not get enough amount of oxygen and thus kidneys are not able to filtrate all waste products anymore. Renal arterial stenosis is one of the most difficult problems in nephrology, urology and cardiology. Renal artery stenosis can develop as a result of congenital or acquired changes in arterial vessels. Such changes can lead to a significant decrease in renal blood flow and as a result a person develops nephrogenic hypertension. If not diagnosed and treated on time, renal arterial stenosis can bring such life-threatening complications, as cardiovascular failure, stroke and chronic renal failure.
Most common causes of renal artery stenosis are atherosclerosis (accounted for 65-70% cases of renal artery stenosis) and fibromuscular dysplasia (25-30%). Atherosclerotic renal artery stenosis is more common for men over 50 years old. If disease was caused by fibromuscular dysplasia it is more common in women older 30-40 years. Atherosclerosis is a condition when arteries become thick and are unable to carry blood to other organs in sufficient amount.
Renal arterial stenosis is manifested by renovascular hypertension and in some cases by ischemic nephropathy. Renovascular hypertension is high blood pressure caused by insufficient blood supply to kidneys. In most cases renal artery stenosis does not cause any symptoms until advanced stage. Main symptoms of this disease are hypertension and ischemic nephropathy. Hypertension of renal artery stenosis is resistant to any typical drug therapy aimed at decreasing hypertension. Other symptoms are:
- Headache
- Hot flashes
- Head becomes heavy
- Pain in eyeballs
- Memory impairment
- Sleep disorder
- Irritability
- Rapid heartbeat
- Pain in heart
- Feeling of tightness in chest
- Shortness of breath
- If a doctor suspects that a person has renal arterial stenosis, he is most likely to listen for presence of any noise or murmur in upper quadrant of abdomen. If there is an increased cardiac noise or whooshing sound of blood close to kidneys, these are clear indicators of renal arterial stenosis. Such noise can be heard through stethoscope. Biochemical blood tests of kidneys and urine tests can show if there are increased levels of urea and creatinine.
- General analysis of urine also shows number of red blood cells available in kidneys.
- Renal ultrasound can reveal if there was reduction in kidney size. Doppler ultrasound and duplex scanning of renal arteries assess the stage of renal arterial stenosis. Urography shows contrast agents in kidneys. It also provides information about form, size, position of kidneys and renal function as well.
- Angioplasty with stenting (1-2 stents) is used to widen and keep arteries open for the blood flow. According to WebMD, medical site, for this type of surgery doctor can use catheter into damaged artery to make heart valves work better.
- Endovascular balloon dilatation of renal arteries is the most common surgery for this disease. Endovascular balloon dilation also widens arteries that are adjacent to kidneys and thus blood flow normalizes once again. It is required if the size of kidneys is too small or a person suffers from high blood pressure which can not be treated with drugs
- Resection of stenotic portion of renal artery also aims to widen arteries. In some cases a surgeon inserts special device inside artery to keep it widened, if there is possibility of further narrowing in future. If this type of surgery is impossible to perform, a doctor may do bypass surgery. This means that he will change the root, which connects kidneys with heart, choosing an artery, which would bring sufficient amount of blood to kidney. Renal artery in this case can be connected to vessel from other organs, such as liver or spleen. Although this surgery is difficult to perform and it can have possible complication, it proved to be highly effective. If renal arterial stenosis was caused by nephroptosis, a person needs to undergo nephropexy. Nephropexy is a kind of surgery, when a doctor fixates floating kidney.
- Surgical treatment of renal arterial stenosis normalizes blood pressure in 70-85% of patients with fibromuscular dysplasia and 50-60% with atherosclerosis. Period of postoperative blood pressure normalization can take up to 7 months.
Authors: Dr. Nadezhda Ivanisova, Dr. Farrukh Ahmed
To check for the Renal artery stenosis you can submit a request on BookingHealth and our managers will find the best hospital that is specialized in Renal artery stenosis to fulfill your needs
Cost of Renal artery stenosis treatment varies from 8603.6 to 22232.49
The best hospitals for Renal artery stenosis treatment are: HELIOS University Hospital Wuppertal, University Hospital Marburg UKGM, University Hospital RWTH Aachen
