What are the current guidelines for referring patients with renal artery stenosis for specialist evaluation?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 17 August 2025Updated: 17 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Patients with suspected renal artery stenosis should be referred for specialist assessment . This applies to both adults, and children and young people with chronic kidney disease (CKD) .

Renal artery stenosis should be suspected if there is a reduction in estimated glomerular filtration rate (eGFR) of 30% or more within 3 months of starting or increasing the dose of a renin-angiotensin system antagonist ,.

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