Renal Renal Artery Stenosis

For renovascular hypertension treat medically and then look when you have an indication that you think might be pushing you to do an intervention. If they're not behaving correctly or if they've got one of those high risk situations which you want to prevent the future like hypertensive encephalopathy or admission with uncontrolled hypertension flash pulmonary d-mall already on an asir and arb than those are patients that i would probably do the intervention for. With renal bilateral renal artery stenosis it just keeps recurring so then creatinine goes up and then blood pressure worsen  it becomes a cycle.