ReviewIntervention for renal artery stenosis: endovascular and surgical rolesGray, Bruce HAuthor Information Endovascular Services, Greenville Memorial Hospital System, Greenville, South Carolina, USA Correspondence and requests for reprints to Bruce H. Gray, DO, 890 West Faris Road, Suite 320, Greenville Memorial Medical Office Building, Greenville, SC 29605, USA. Tel: +1 864 445 5122; fax: +1 864 455 8980; e-mail: [email protected] Journal of Hypertension: October 2005 - Volume 23 - Issue - p S23-S29 doi: 10.1097/01.hjh.0000192098.90925.85 Buy Metrics Abstract The treatment options for renal artery stenosis include bypass surgery, surgical endarterectomy, or balloon angioplasty with/without stenting. Each of these procedures is delivered today with differing frequency, morbidity/mortality, and outcomes. The procedure most applicable to patients with atherosclerotic disease is percutaneous transluminal renal angioplasty with stenting. Stents prevent plaque recoil, minimizing early restenosis, and the relatively large size of the renal artery (5–7 mm) minimizes late stent restenosis rates. The clinical features that help predict a favorable response to intervention are reviewed. In short, intervention provides a durable means to control renovascular hypertension, ischemic nephropathy, and congestive heart failure due to poor renal volume control. © 2005 Lippincott Williams & Wilkins, Inc.