Renal artery stenting for atherosclerotic renal artery stenosis
Why flagged
Renal artery stent referral for ARAS patient; CORAL 2014 showed no benefit over medical therapy alone (35.1% vs. 35.8% events, p=NS).
Routine angioplasty and stenting for significant atherosc…
Renal artery stenting added to medical therapy yielded no significant difference in CV/renal events (35.1% vs. 35.8%, HR 0.94; 95% CI 0.76-1.17) compared to medical therapy alone.
Guidelines updated
ACC/AHA Guidelines: Comprehensive medical therapy is the …
- Prior guidance2014
Routine angioplasty and stenting for significant atherosclerotic renal artery stenosis to treat refractory hypertension and preserve kidney function.
- CORAL2014
Renal artery stenting added to medical therapy yielded no significant difference in CV/renal events (35.1% vs. 35.8%, HR 0.94; 95% CI 0.76-1.17) compared to medical therapy alone.
- Reversal2014
Guidelines updated
- Current recommendation
ACC/AHA Guidelines: Comprehensive medical therapy is the foundational treatment. Stenting provides no incremental benefit over medical therapy for most patients.