Atherosclerotic Renovascular Disease: A KDIGO (Kidney Disease: Improving Global Outcomes) Controversies Conference

Abstract

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Renal Artery Stenting in Consecutive High‐Risk Patients With Atherosclerotic Renovascular Disease: A Prospective 2‐Center Cohort Study

“…Until such a trial is available, our findings can serve to support current recommendations in the US guideline from the Society for Cardiovascular Angiography and Interventions from 2017 7 and in the KDIGO conference report from 2021. 8 …”

“… 4 , 7 These recommendations are in agreement with the conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference on the Heart, Kidney, and Vasculature held in February 2020. 8 In comparison, the European guideline from 2017 is less specific and more conservative and states that angioplasty may be considered in selected patients with significant atherosclerotic renal artery stenosis and recurrent heart failure or sudden pulmonary edema (class IIb Level of Evidence C) and in rare cases of acute oligo‐anuric kidney failure in patients with bilateral renal artery disease without significant kidney atrophy. 9…”

Endovascular Versus Medical Management of Atherosclerotic Renovascular Disease: Update and Emerging Concepts

“…Data supporting the use of PTRA in some of the aforementioned patients with high-risk ARVD are already available, 5,6,13 though mostly derived from case reports, 12,45–48 single-center small cohorts, 49,50 and a few larger observational studies. 6,51–53…”

Ultrasonographic Assessment of Atherosclerotic Renal Artery Stenosis in Elderly Patients with Chronic Kidney Disease: An Italian Cohort Study

“…This is the case for elderly atherosclerotic patients with CKD [ 4 ]. Indeed, the data on the occurrence of ARAS are contrasting in this population [ 12 , 13 , 14 ], ranging from 5% up to 22% [ 15 ].…”