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Renal artery stenosis - Symptom

Alternative Names

Renal artery occlusion; Stenosis - renal artery; Occlusion - renal artery; Fibromuscular dysplasia (FMD)

Symptoms:

There are usually no symptoms.

Signs and tests:

The doctor may hear a loud whooshing sound, called a bruit, when listening to the kidney area with a stethoscope.

A blood pressure reading may be high. The patient may have a history of high blood pressure that is hard to control or does not get better with medicine.

Imaging tests may show that the kidney is smaller or a decrease in blood flow because of a narrowed artery. Such tests may include:

A renal arteriogram shows the exact location of the blocked area.

This disease may also affect the results of the following tests:

  • Reviewed last on: 4/14/2008
  • Parul Patel, MD, Private Practice specializing in Nephrology and Kidney and Pancreas Transplantation, Affiliated with California Pacific Medical Center, Department of Transplantation, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Safian RD, Textor SC. Renal-artery stenosis. N Engl J Med.2001;344:431-442.

White CJ. Catheter-based therapy for atherosclerotic renal artery stenosis. Circulation. 2006;113:1464-1473.

Balk E, Raman G, Chung M, Ip S, Tatsioni A, Alonso A, et al. Effectiveness of management strategies for renal artery stenosis: a systematic review. Ann Intern Med. 2006;145:901-912.

Textor SC. Renovascular hypertension update. Curr Hypertens Rep. 2006;8:521-527.

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