Open and endovascular treatment of renal artery stenosis

Background: Based on several randomized studies, currently any treatment concerning the renal arteries seems questionable. Guidelines have tried to establish indicators that are in favor of a treatment of the renal arteries. Material and methods: The technique and results of endovascular and surgical treatment of stenosis of the renal arteries are presented based on the literature and the author's own experience. Discussion: The indications for invasive treatment still consist of recurrent flash pulmonary edema and rapid deterioration of renal function or hypertension in the presence of renal artery stenosis. The results of endovascular and surgical treatment of renal artery stenosis are very good, with an advantage for the long-term course of surgically treated patients. Interdisciplinary cooperation is mandatory in the treatment of this disease.