Vesna D. Garovic, MD Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN
Garvan C. Kane, MB, BCh Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN
Gary L. Schwartz, MD Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine, Rochester, MN
Address: Vesna D. Garovic, MD, Division of Nephrology and Hypertension, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; email garovic.vesna@mayo.edu
ABSTRACTThere is considerable controversy about how to test for renovascular hypertension and, with the development of percutaneous transluminal renal angioplasty (PTRA) and stenting, how to treat it. Which noninvasive diagnostic test should be considered, and when is renal angiography called for? Which patients will benefit from conservative medical therapy, and when is PTRA appropriate?