Is It Safe to Do an Intervention for Renal Artery Stenosis?

FMD is one of the cases where I do think it's reasonable to go ahead and do the evaluation and sometimes do an intervention. The patients that present with hypertensive encephalopathy which is a condition that is pretty rare but almost always find a secondary cause of hypertension in those patients so I'll work those patients up to the hilt including some sort of renal imaging for renal artery stenosis. Other conditions if they have bilateral renal artery stenotic and they're failing in some way so resistant hypertension is not improving or no matter what you do creatinine worsens them. Those are the people with severe disease and they would benefit from an intervention.