{"id":12197,"date":"2025-08-05T09:52:48","date_gmt":"2025-08-05T13:52:48","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/renal-artery-stenosis\/"},"modified":"2025-08-05T09:52:48","modified_gmt":"2025-08-05T13:52:48","slug":"estenosis-de-la-arteria-renal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/estenosis-de-la-arteria-renal\/","title":{"rendered":"Estenosis de la Arteria Renal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[134],"glossary-product":[],"class_list":["post-12197","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-vascular-diseases"],"acf":{"gt-definition":"<p>La estenosis de la arteria renal (RAS) es una afecci\u00f3n vascular caracterizada por el estrechamiento de una o ambas arterias renales, lo que lleva a una reducci\u00f3n del flujo sangu\u00edneo a los ri\u00f1ones.<sup>1<\/sup> Este estrechamiento puede deberse a dos etiolog\u00edas principales: la aterosclerosis, que representa aproximadamente el 90% de los casos, o la displasia fibromuscular (FMD), que comprende alrededor del 10% de los diagn\u00f3sticos.<sup>2<\/sup> El RAS ateroscler\u00f3tico generalmente afecta el tercio proximal de la arteria renal, incluida la aorta perirrenal y el ostium, mientras que la fiebre aftosa generalmente afecta los dos tercios distales de la arteria renal.<sup>3<\/sup> La perfusi\u00f3n renal reducida activa el sistema renina-angiotensina-aldosterona (RAAS), lo que puede conducir a hipertensi\u00f3n renovascular, nefropat\u00eda isqu\u00e9mica y, en casos graves, enfermedad renal cr\u00f3nica.<sup>4<\/sup> RAS se considera una causa importante de hipertensi\u00f3n secundaria y afecta aproximadamente del 1% al 10% de los 50 millones de personas con hipertensi\u00f3n en los Estados Unidos.<sup>5<\/sup><\/p>","gt-synonyms":"enfermedad renovascular, Enfermedad vascular renal, Estenosis ateroscler\u00f3tica de la arteria renal (ARAS), Hipertensi\u00f3n renovascular (cuando causa hipertensi\u00f3n), Nefropat\u00eda isqu\u00e9mica (cuando causa da\u00f1o renal), Enfermedad oclusiva de la arteria renal","gt-citation":"[1] Silva J, Tonheiro J, Rodrigues F. The \"Silent Enemy\" Called Renal Artery Stenosis: A Mini-Review. J Vasc Dis. 2025;4(1):10. DOI: https:\/\/doi.org\/10.3390\/jvd4010010\n\n[2] Dobrek L. An Outline of Renal Artery Stenosis Pathophysiology\u2014A Narrative Review. Life. 2021;11(3):208. DOI: https:\/\/doi.org\/10.3390\/life11030208\n\n[3] Weber BR, Dieter RS. Renal artery stenosis: epidemiology and treatment. Int J Nephrol Renovasc Dis. 2014;7:169-181. DOI: https:\/\/doi.org\/10.2147\/IJNRD.S40175\n\n[4] Bokhari MR, Bokhari SRA. Renal Artery Stenosis. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 28613718\n\n[5] Sarafidis PA, Persu A, De Leeuw PW, et al. Atherosclerotic renovascular disease: a clinical practice update. Nephrol Dial Transplant. 2023;38(12):2835-2850. DOI: https:\/\/doi.org\/10.1093\/ndt\/gfad171","gt-clinical-context":"<p>La estenosis de la arteria renal es cl\u00ednicamente significativa en varios contextos, principalmente como causa de hipertensi\u00f3n secundaria y disfunci\u00f3n renal progresiva.<sup>1<\/sup> La presentaci\u00f3n cl\u00ednica var\u00eda seg\u00fan la gravedad, la progresi\u00f3n y si la estenosis es unilateral o bilateral.<\/p>\n\n<h3>Criterios de selecci\u00f3n de pacientes:<\/h3>\n<p>Los pacientes que deben ser evaluados para detectar RAS incluyen aquellos con:<\/p>\n<ul>\n    <li>Aparici\u00f3n repentina o empeoramiento de la hipertensi\u00f3n, especialmente despu\u00e9s de los 55 a\u00f1os<sup>2<\/sup><\/li>\n    <li>Hipertensi\u00f3n resistente (que requiere tres o m\u00e1s medicamentos)<sup>3<\/sup><\/li>\n    <li>Episodios recurrentes de edema pulmonar repentino o insuficiencia card\u00edaca congestiva inexplicable<sup>4<\/sup><\/li>\n    <li>Insuficiencia renal progresiva inexplicable<sup>5<\/sup><\/li>\n    <li>Disparidad significativa en el tama\u00f1o de los ri\u00f1ones (>1,5 cm de diferencia)<sup>2<\/sup><\/li>\n    <li>Azotemia inexplicable al iniciar inhibidores de la ECA o bloqueadores de los receptores de angiotensina<sup>3<\/sup><\/li>\n<\/ul>\n\n<h3>Procedimientos de diagn\u00f3stico:<\/h3>\n<p>El diagn\u00f3stico generalmente implica una combinaci\u00f3n de sospecha cl\u00ednica y estudios de imagen:<\/p>\n<ul>\n    <li>Ecograf\u00eda Doppler d\u00faplex: una herramienta de detecci\u00f3n inicial no invasiva con sensibilidad variable (60-90%)<sup>4<\/sup><\/li>\n    <li>Angiograf\u00eda por tomograf\u00eda computarizada (CTA): Ofrece excelentes detalles anat\u00f3micos pero requiere contraste yodado<sup>5<\/sup><\/li>\n    <li>Angiograf\u00eda por resonancia magn\u00e9tica (MRA): Proporciona una buena visualizaci\u00f3n sin contraste yodado, pero puede estar contraindicada en pacientes con insuficiencia renal grave<sup>4<\/sup><\/li>\n    <li>Arteriograf\u00eda renal: el est\u00e1ndar de oro para el diagn\u00f3stico, pero es invasivo y conlleva riesgos de nefropat\u00eda por contraste<sup>5<\/sup><\/li>\n<\/ul>\n\n<h3>Enfoques de tratamiento:<\/h3>\n<p>Las estrategias de gesti\u00f3n incluyen:<\/p>\n<ul>\n    <li>Terapia m\u00e9dica: medicamentos antihipertensivos (particularmente inhibidores de la ECA y BRA en la enfermedad unilateral), estatinas, agentes antiplaquetarios y modificaci\u00f3n de factores de riesgo<sup>2,4<\/sup><\/li>\n    <li>Revascularizaci\u00f3n: angioplastia renal transluminal percut\u00e1nea con colocaci\u00f3n de stent para pacientes seleccionados con estenosis grave y hemodin\u00e1micamente significativa, especialmente aquellos con edema pulmonar repentino recurrente, disfunci\u00f3n renal progresiva o hipertensi\u00f3n resistente<sup>3,5<\/sup><\/li>\n    <li>Revascularizaci\u00f3n quir\u00fargica: Reservada para casos complejos no aptos para abordajes endovasculares<sup>4<\/sup><\/li>\n<\/ul>\n\n<h3>Resultados esperados:<\/h3>\n<p>Los resultados var\u00edan seg\u00fan la selecci\u00f3n del paciente y el momento de la intervenci\u00f3n:<\/p>\n<ul>\n    <li>La mejora de la presi\u00f3n arterial ocurre en 60-80% de los pacientes seleccionados adecuadamente despu\u00e9s de la revascularizaci\u00f3n<sup>2<\/sup><\/li>\n    <li>Se observa estabilizaci\u00f3n o mejora de la funci\u00f3n renal en aproximadamente el 30-50% de los pacientes<sup>5<\/sup><\/li>\n    <li>La reducci\u00f3n de eventos cardiovasculares y el beneficio de supervivencia siguen siendo controvertidos y dependen de la selecci\u00f3n adecuada del paciente<sup>3,4<\/sup><\/li>\n<\/ul>\n\n<p>El ensayo Cardiovascular Outcomes in Renal Aterosclerotic Lesions (CORAL) demostr\u00f3 que la mayor\u00eda de los pacientes con RAS ateroscler\u00f3tico pueden tratarse solo con tratamiento m\u00e9dico \u00f3ptimo, reservando la revascularizaci\u00f3n para subgrupos espec\u00edficos de alto riesgo.<sup>3,5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":60},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Estenosis de la Arteria Renal<\/title>\n<meta name=\"description\" content=\"La estenosis de la arteria renal es el estrechamiento de las arterias renales que provoca una reducci\u00f3n del flujo sangu\u00edneo...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/es\/glossary-term\/estenosis-de-la-arteria-renal\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Estenosis de la Arteria Renal - Prosthetic Urology Glossary\" \/>\n<meta property=\"og:description\" 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