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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
The Hirslanden Clinic Meggen is a modern multidisciplinary medical facility in Switzerland, where the patient receives top-class medical care according to his individual needs and wishes. Since 2014, the clinic has been part of the prestigious Hirslanden Private Hospital Group, which has an excellent reputation in Switzerland an
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The Martha-Maria Hospital Munich is one of the medical facilities of the Martha-Maria Diaconal Enterprise, as well as an academic hospital of Ludwig Maximilian University of Munich. For the patient, this means a combination of advanced medicine with a humane attitude towards the patient's worries and his life situation. The
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Luisenhospital Aachen
Luisenhospital Aachen
Overall rating9.8 / 10
The Luisenhospital Aachen is a modern health facility that offers top-class European-standard service. The medical complex is an academic hospital of RWTH Aachen University, which provides patients with access to innovations in diagnosis and treatment. The hospital first opened its doors to patients in 1967 and has been carrying
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Asan Medical Center is Korea’s largest medical institution, with 1,600 physicians and surgeons, 3,100 nurses, 2,680 beds, and 67 operating rooms, occupying more than four million square feet (about 371,600 square meters). A typical day at AMC sees 2,500 inpatients and 10,000 outpatients treated. The treatment of heart dise
As a member of the Swiss Leading Hospitals, the Multispecialty Hospital Lindberg in Winterthur ranges amongst the leading medical facilities in Switzerland. With more than 100 accredited doctors of various specialties, the Lindberg Hospital offers a broad range of medical services. Focal areas of the Hospital are orthopedics inc
Medical tourism or a trip to another country to relax and solve some health problems, at the same time, enjoys great popularity now. The tourists of this type especially like Switzerland, because it offers a very high level of both rest and medical treatment. Clinique Generale has been servicing the residents of Fribourg for ove
The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.  There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds. The hospital uses innovative technologies and the latest treatments, as
The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions. The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci
The Vivantes Am Urban Hospital is an academic clinic at the Charité University Hospital. Many departments of the hospital are recognized for their outstanding medical and patient care services. The hospital also includes the Breast Center, the Tumor Center with the specialization "Gastrointestinal oncology" and
The Eilenriede Clinic Hannover positions itself as one of the best medical complexes in Germany, where patients are provided with highly effective treatment in accordance with European medical standards. The main clinical focuses of the medical facility include general surgery, hand surgery, neurosurgery, plastic and aesthetic s
The Merian Iselin Clinic Basel is a leading Swiss medical center with outstanding quality of medical care. The key areas of specialization of the clinic are orthopedics and surgery. The work of the specialists in the field of urology and sports medicine (accreditation as the Swiss Olympic Medical Center) is also particularly suc
According to the reputable Focus magazine, the Schoen Clinic Duesseldorf is one of the top medical facilities in North Rhine-Westphalia and is also one of the best Spinal Surgery Centers in Germany. The Schoen Clinic Duesseldorf is recognized as a leading medical facility that provides high-quality medical care with an emphasis
Leech Clinic Graz
Leech Clinic Graz
Overall rating9.2 / 10
Leech Clinic is a surgical clinic and a member of SANLAS Holding GmbH. “We are the Good Mood Clinic” is the slogan of the clinic, so our patients get specialist care and treatment all the way from a to Z in a friendly atmosphere.
The Hirslanden Clinic am Rosenberg Heiden is a leading private medical facility with exceptional competence in the diagnostics and treatment of the entire spectrum of diseases of the musculoskeletal system. The patients can benefit from the services of the highly qualified doctors and attentive nursing staff who are focused on t
The Clinic de Genolier Genolier is the largest reputable medical facility of the Swiss Medical Network, which provides excellent high-quality medical services in accordance with the best traditions of Swiss healthcare. The clinic was founded in 1972 and nowadays it can boast with long successful clinical experience, as well as c
The Hospital zum Heiligen Geist Frankfurt am Main is a modern medical facility offering top-class service. The medical complex is an academic hospital of the Goethe University Frankfurt, so doctors pay due attention to research activities, and also have a perfect command of the very latest diagnostic and therapeutic techniques.
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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