google_counter
Renal Artery Stenosis - Best Hospitals, Doctors, Prices - Booking Health

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

Leading hospitals

Cost for treatment

Diagnostic tests for stenosis of a renal artery
1794
Angioplasty with stenting (1-2 stent) in stenosis of a renal artery
8603.6
General therapeutic rehabilitation
0.00
Every year, Zurich attracts thousands of foreigners with its best Swiss clinics. One of them is Klinik Im Park that has been providing a constantly high level of medical services, professional care and friendly atmosphere for 25 years. Why exactly do patients choose Swiss clinics? The reason is that our specialists will do their
certificatecertificate
The Hirslanden Clinic Aarau enjoys the status of one of the largest and most successful private medical facilities in Bern and Zurich. The clinic is part of the Hirslanden Network known in Europe, which is a provider of first-class medical services in Switzerland. The main areas of specialization of the clinic in Aarau include c
certificatecertificatecertificate
The Hospital Oberberg Waldbrol is a progressive medical facility with a priority focus on effective treatment and high-quality patient care. The medical complex is an academic hospital of the University of Bonn, which guarantees direct access to medical innovations. The medical staff of the hospital applies an individual ap
certificatecertificatecertificate
The Asklepios Municipal Hospital Bad Wildungen positions itself as a modern medical facility, which is focused on the provision of high-quality medical services using state-of-the-art medical technologies and advanced treatment methods. The hospital pays great attention to an individual approach to each patient, which is the bas
certificatecertificatecertificate
The Eichsfeld Hospital Heilbad Heiligenstadt is a reputable medical facility, whose patients can undergo high-quality diagnostics and treatment in accordance with European standards. The medical facility is an Academic Hospital of the University of Goettingen, so many local doctors are actively engaged in research activities and
certificatecertificatecertificatecertificate
The Hospital Oberberg Gummersbach is a medical complex that offers its patients top-class personalized care. The hospital was founded in 1985. Since then, it has earned an excellent reputation in the German medical arena and has gained vast experience in the provision of medical care to foreign patients. The Hospital Oberberg Gu
certificatecertificatecertificate
According to the reputable Focus magazine, the Helios Hospital Berlin-Buch ranks among the top medical facilities in Germany! The clinic is proud of its rich history, which dates back over 100 years, as well as the status of a maximum care medical center with exceptionally high success treatment rates. The medical institution is
certificate
The DKD HELIOS Clinic Wiesbaden has long made a name for itself in the international medical arena by introducing an optimal model of medical care, combining the use of the most advanced medical technologies, the experience of highly qualified doctors and impeccable quality of patient care. The medical facility first opened its
certificate
The Helios Hospital Hildesheim positions itself as an advanced provider of high-quality medical services at the European level. The medical facility is an Academic Hospital of the Hannover Medical School, thanks to which it can successfully introduce the very latest medical achievements into clinical practice. The hospital is di
certificate
The Hirslanden Clinic St. Anna Lucerne is a private medical facility, the primary task of which is to provide excellent quality medical services in accordance with the standards of modern medicine. The history of the clinic has more than 100 years, so it has gained a strong reputation not only in Switzerland, but also far beyond
certificate
According to the prestigious Focus magazine, the St. Antonius Hospital Eschweiler ranks among the top medical facilities in North Rhine-Westphalia! The hospital is a modern medical complex with 13 specialized departments. The hospital has more than 165 years of history, so it has long won an excellent reputation not only in Germ
certificatecertificatecertificate
The Hospital Neuperlach Munich provides modern medical services of the highest quality. The medical center is an Academic Hospital of the Ludwig Maximilian University of Munich, and therefore it can offer its patients innovative diagnostic and therapeutic methods available only in the best German hospitals. The medical complex o
certificate
The Samitivej Hospital Bangkok is a leading provider of medical services of the international level. The hospital has its campuses in various regions of Bangkok. The Samitivej Sukhuvmit Hospital has the status of the main and most respected medical facility. The accreditation of the Joint Commission International (JCI) is the ev
certificatecertificatecertificatecertificatecertificate
The St. Joseph Hospital Haan has a long history of providing top-class medical services and tender care for patients in accordance with Catholic principles. The priority clinical focuses include cardiology, pulmonology, gastroenterology, oncology, endocrinology, general and abdominal surgery, endocrine surgery, hernia repair sur
certificatecertificate
According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German
certificatecertificatecertificate
Sana Hospital Duisburg
Sana Hospital Duisburg
Overall rating8.5 / 10
The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital
certificatecertificate
| from Booking Health GmbH

About the disease

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.  

Symptoms

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

Diagnosis

  • 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.

Treatment

  • 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 IvanisovaDr. Farrukh Ahmed