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Atheroembolic Renal Disease
Alternate Names : Atherosclerotic Renal Vascular Disease, Renal Artery Embolism, Cholesterol Embolism, Renal Artery Aneurysm
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What are the treatments for the disease?
Plaque buildup that causes high blood pressure is often treated with medication. If this doesn't work, other options are as follows:
angioplasty, a procedure in which the narrowed artery is opened through a narrow tube
surgery to reconstruct the artery
surgery to remove the plaque from the artery
surgery to replace the artery with an artificial graft
A renal artery aneurysm is only treated if it is large or if it is causing very high blood pressure. If the aneurysm is in a small branch of the artery, the branch may be removed. This will cause loss of that small portion of the kidney, but it will prevent other problems. Other aneurysms may require surgery.
Blood clots are treated with a thrombolytic medication, such as streptokinase or urokinase. These medicines break down blood clots. If this doesn't work, surgery may be done to remove the clot or the kidney.
What are the side effects of the treatments?
Thrombolytic medications can cause bleeding. Renal artery angioplasty may result in persistent bleeding or an infection. Kidney damage can occur but is rare. Surgery may cause bleeding, infection, or allergic reaction to anesthesia.
What happens after treatment for the disease?
Most people will be able to resume their normal activities shortly after treatment.
How is the disease monitored?
blood pressure, cholesterol, and blood glucose levels will be monitored as needed. Any new or worsening symptoms should be reported to the healthcare provider.
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Author: Stuart Wolf, MD Reviewer: Adam Brochert, MD Date Reviewed: 06/07/01
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