Q:

Which of the following statements about the treatment of renal artery stenosis is/are true?

belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:13| Question number:83

waelhammad

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2022-12-10

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Which of the following statements about the treatment of renal artery stenosis is/are true?

Though a significant cause of hypertension, renal artery stenosis seldom results in loss of renal function.
In patients with medically controlled renovascular hypertension there is no need to consider revascularization
Balloon angioplasty is more effective in patients with atherosclerotic disease as compared with those with fibromuscular disease.
In patients with severe atherosclerosis of the aorta, bypass from the splenic or hepatic arteries should be considered.

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waelhammad

2022-12-10

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D. In patients with severe atherosclerosis of the aorta, bypass from the splenic or hepatic arteries should be considered.

DISCUSSION: In a significant percentage of patients with renovascular hypertension there is loss of renal mass, which may progress to end-stage renal insufficiency. Ostial lesions respond poorly to balloon angioplasty. If the aorta is severely diseased bypass can be effective using either the hepatic or the splenic artery to supply blood to the kidney

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