Type of renal vascular disease
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Treatment
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Renal artery stenosis
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Medical treatment:
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Blood pressure lowering medicines to treat high blood pressure
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Medicines to lower cholesterol for atherosclerosis
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Treatment of related medical conditions such as diabetes
Surgical treatment:
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Endovascular procedures such as angioplasty (the opening of a renal artery using a balloon or other method) or placement of a stent (a tiny, expandable metal coil placed inside an artery to keep the artery open)
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Open surgery to bypass the blocked renal artery
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Renal artery thrombosis
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In acute cases, thrombolytic (clot-busting) medicine may be infused into the renal artery for several hours to several days to break up the clot.
Surgery to remove the clot or bypass the artery may be done in some situations.
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Renal artery aneurysm
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Treatment of a renal artery aneurysm depends on symptoms and the size and location of the aneurysm. Some smaller aneurysms may not be treated, but may be watched carefully for growth or problems.
Surgery may be used to treat larger, tearing, or growing aneurysms. It may also be used for aneurysms causing lack of blood flow to the kidney and high blood pressure, and aneurysms causing symptoms.
Because of the increased risk for rupture (bursting), a renal artery aneurysm in a pregnant woman or a woman of childbearing age will generally be treated with surgery.
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Atheroembolic renal disease
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Treatment may include medicines to lower cholesterol, blood pressure, and treat other related conditions, such as diabetes.
Diet changes, including not eating foods high in fat and salt, and exercise are urged to lower blood pressure.
Surgical treatment may include:
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Endovascular procedures such as angioplasty (the opening of a renal artery using a balloon or other method) or placement of a stent (a tiny, expandable metal coil placed inside an artery to keep the artery open)
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Open surgery to bypass the blocked renal artery
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Renal vein thrombosis
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Renal vein thrombosis is generally treated with an anticoagulant, which keeps the blood from clotting. They may be given intravenously (IV) for several days, then given by mouth for a few weeks or more.
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