What are the ACC/AHA guidelines for surgical revascularization for renal artery stenosis (RAS)?

Updated: Nov 02, 2020
  • Author: Bruce S Spinowitz, MD, FACP; Chief Editor: Vecihi Batuman, MD, FASN  more...
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ACC/AHA gives class I recommendations to surgical revascularization for the following indications: [56]

  • Fibromuscular dysplasia, especially in those exhibiting complex disease or macroaneurysms
  • Atherosclerotic RAS and multiple small renal arteries or early primary branching of the main renal artery
  • Atherosclerotic RAS in combination with pararenal aortic reconstruction

ESC gives a class IIb recommendation to consider surgical revascularization in patients undergoing repair of the aorta or with complex anatomy of renal arteries or after failure of endovascular treatment. [57]

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