Choosing Wisely:

Don’t screen for renal artery stenosis in patients without resistant hypertension and with normal renal function, even if known atherosclerosis is present.

Rationale and Comments: Performing surgery or angioplasty to improve circulation to the kidneys has no proven preventive benefit, and shouldn’t be considered unless there is evidence of symptoms, such as elevated blood pressure or decreased renal function.
Sponsoring Organizations:
  • Society for Vascular Medicine
  • Sources:
  • ACC/AHA guidelines
  • Disciplines:
  • Nephrologic
  • Cardiovascular
  • References: • ACC/AHA 2005 practice guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary. Circulation. 2006;113;1474-1547.

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