[Treatment of renal artery stenosis].

Management of renovascular disease can be based on surgical revascularization, medical therapy or interventional radiology. Results obtained with transluminal angioplasty, as compared to surgery, indicate that interventional radiology should be used as first treatment in patients with renovascular hypertension without renal failure. The best indications are treatments of fibrous dysplasia, and atherosclerotic stenosis complicated with pulmonary oedema. In case of restenosis, observed mainly with atherosclerotic stenosis, a second angioplasty eventually combined with stent implantation can be performed. Surgical repair is indicated when angioplasty has not been successful or when arterial lesions are too complex.