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How to treat renal arterial hypertension?

2017-08-16 18:15
Renal artery stenosis (RAS) is one of the most common causes of secondary hypertension. For patients with unilateral renal artery stenosis, in the past, unilateral nephrectomy was often performed. Now with the level of medical technology, renal artery reconstruction surgery and percutaneous transluminal arterial angioplasty (PTA) has become a better way to treat the disease. How to treat renal artery stenosis?
Renal artery stenosis is often used in the treatment of hypertension. Although the drug treatment can not prevent the progress of renal artery stenosis, but it can help control high blood pressure, improve symptoms. Unilateral renal artery stenosis was high renin, is often preferred ACEI or ARB, but must start from a small amount, and gradually increase the amount, so as to avoid excessive blood pressure is too low. Bilateral renal artery stenosis should be prohibited from the above drugs. In order to effectively control blood pressure, often need a variety of antihypertensive drugs with the application.
How to treat renal artery stenosis? Treatment of renal artery stenotic hypertension also includes minimally invasive intravascular and surgical treatment. The former is the narrow part of the stent through a special alloy distraction, restore the effective blood flow to the kidneys. This treatment has very small trauma, but requires a high technical level of the doctor; the latter is directly through the removal of renal artery stenosis parts of the plaque, or through the vascular bypass, with the body's own vein or artificial blood vessels, transplant to the ends of the renal artery stenosis lesions, one end connected to the aorta, the other end connected to the renal artery. But this treatment has relatively large trauma.
How to treat renal artery stenosis? The above is a detailed introduction, the treatment of renal artery stenosis of hypertension should be based on the actual situation of patients to choose the most appropriate treatment.

How to treat renal arterial hypertension

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