La néphropathie ischémique par athérosclérose aortorénale : diagnostic [Atherosclerotic renal artery disease diagnosis update].

Détails

ID Serval
serval:BIB_6C70EF7425B4
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
La néphropathie ischémique par athérosclérose aortorénale : diagnostic [Atherosclerotic renal artery disease diagnosis update].
Périodique
Néphrologie & Thérapeutique
Auteur(s)
Meier P., Haesler E., Teta D., Qanadli S.D., Burnier M.
ISSN
1769-7255 (Print)
ISSN-L
1769-7255
Statut éditorial
Publié
Date de publication
2009
Volume
5
Numéro
1
Pages
1-12
Langue
français
Notes
Publication types: English Abstract ; Journal Article ; Review
Résumé
Atherosclerotic renal artery disease represents a cause of which little is known but not a cause to be neglected for hypertension and renal insufficiency. Even though its occurrence remains badly defined, atherosclerotic renal artery disease is constantly on the rise due to the aging population, the never prevailing hypertension and diabetes mellitus. This review aims to give a clinical profile of patients presenting with atherosclerotic renal artery disease and to discuss, in the light of study results, which diagnostic evaluation should be used considering the sequence and the benefit and risk of each in order to initiate a personalized treatment. Patients affected by atherosclerotic renal artery disease are likely to have more complications and more extensive target-organ damage than patients without renal artery stenosis. The evolution of the atherosclerotic renal artery disease is in general slow and progressive. Nevertheless, certain clinical cases manifest themselves with the onset of acute renal failure bought upon by the administration of blockers of the rennin-angiotensin-aldosterone system, or by some other causes responsible for a sudden drop in renal plasma flow (e.g., thrombosis of the renal artery). The relationship between atherosclerotic renal artery disease and atherosclerosis is complex, and mediators implicated in the pathophysiology of renovascular disease may also contribute to the progression of cardiovascular damage. An early assumption of the atherosclerotic renal artery stenosis is warranted to determine the adapted treatment (i.e., medical treatment, revascularisation...) just as the assumption and the correction of the more general cardiovascular risk factors.
Mots-clé
Algorithms, Angiography/methods, Atherosclerosis/diagnosis, Atherosclerosis/epidemiology, Diagnosis, Differential, Humans, Magnetic Resonance Imaging, Renal Artery, Tomography, X-Ray Computed, Ultrasonography, Doppler
Pubmed
Web of science
Création de la notice
02/04/2009 13:44
Dernière modification de la notice
20/08/2019 15:26
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