RENOVASCULAR DISEASE IN OLDER ADULTS

Renovascular disease (RVD) as a cause of end-stage renal disease (ESRD ) has been under-recognized until recently. As the population ages, th e number of individuals with atherosclerotic RVD will increase, as wil l the number of patients with renovascular hypertension (RVH) and ESRD . The anatomic presence of atherosclerotic RVD as a threat to renal fu nction has become a more pressing concern than that of hypertension se condary to RVD. This article reviews the causes, assessment, and treat ment of RVD in older adults.