肾动脉狭窄的诊断和治疗的中国专家共识（Chinese expert consensus on the diagnosis and treatment of renal artery stenosis）.docVIP

肾动脉狭窄的诊断和治疗的中国专家共识（Chinese expert consensus on the diagnosis and treatment of renal artery stenosis） Chinese expert consensus on the diagnosis and treatment of renal artery stenosis 1. Preface Renal artery stenosis (RAS) is one of the most common causes of secondary hypertension. Takayasu arteritis, atherosclerosis, and muscle fiber dysplasia are the common causes of RAS. Prior to 1990s, Takayasu arteritis was the leading cause of renal artery stenosis in china. But over the past ten years, atherosclerotic RAS has replaced Takayasu arteritis as the leading cause of RAS. In recent years, the incidence of atherosclerotic disease in China has been increasing. 2. epidemiology The total diagnostic value of 65 years of age or older in the crowd RAS rate is about 6.8%, higher in male than in female. RAS has a higher incidence in high-risk groups (such as coronary heart disease patients and peripheral arterial disease patients). Accept renal artery angiography found that significant renal artery stenosis in undergoing cardiac catheterization (more than 50%) and the incidence rate is about 11%~18%. Atherosclerotic renal artery stenosis is a progressive disease. Renal artery occlusion is more common in patients with severe stenosis and those with diabetes or severe hypertension. Consequences of 3.RAS (1) renovascular hypertension Renovascular hypertension is the second leading cause of secondary hypertension. Although hypertension is a major clinical manifestation of RAS, the extent of anatomic renal artery stenosis is not linearly related to hypertension. (2) end-stage renal disease (ESRD); A total of 683 patients with ESRD undergoing dialysis at the end of the last 20 years were studied, of whom 83 (12%) were diagnosed with RAS caused by ESRD. However, according to the current data, we can not fully define the impact of RAS on ESRD. There is no data to show how many RAS patients eventually need dialysis because of RAS. (3) renal atrophy; Atrophy of the kidney is a direct co