What is the treatment of renal artery dissection?

Renal artery dissection involves a tear within the arterial wall supplying the kidney. Management is guided by the patient's haemodynamic status and presenting symptoms, with an established evidence-based first-line approach.

Treatment approach

First-line management is conservative: the core of treatment is supportive medical care centred on blood pressure control, with additional measures for symptom relief when required.

The complete regimen — specific agents, therapeutic targets, monitoring parameters, and criteria for escalation — is in the full structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jvs.2019.03.055

Conservative therapy, including medical treatment of hypertension if it is involved, was proposed by Edwards et al14 in 1982 and revised by Ramamoorthy et al8 in 2002.

Supportive medical treatments included antihypertensive treatment and analgesic therapy if necessary.

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