| Renal artery | |
|---|---|
 Renal arteries branching left and right from the aorta (in red) | |
| |
| Details | |
| Source | Abdominal aorta |
| Branches | Inferior suprarenal artery,segmental arteries,ovarian artery |
| Vein | Renal vein |
| Supplies | Kidneys |
| Identifiers | |
| Latin | arteria renalis |
| MeSH | D012077 |
| TA98 | A12.2.12.075 |
| TA2 | 4269 |
| FMA | 14751 |
| Anatomical terminology | |
Therenal arteries are paired arteries that supply thekidneys withblood. Each is directed across thecrus of the diaphragm, so as to form nearly a right angle.
The renal arteries carry a large portion of total blood flow to the kidneys. Up to a third of totalcardiac output can pass through the renal arteries to be filtered by the kidneys.
In typical anatomy, the renal arteries arise perpendicularly from the sides of theabdominal aorta, just below the origin of thesuperior mesenteric artery at the L1-L2 vertebral level.[1] They have a radius of approximately 0.25 cm,[2] 0.26 cm at the root.[3] The measured mean diameter can differ depending on the imaging method used. For example, the diameter was found to be 5.04 ± 0.74 mm using ultrasound but 5.68 ± 1.19 mm using angiography.[4][5]
Due to the anatomical position of theaorta, theinferior vena cava, and the kidneys, the right renal artery is normally longer than the left renal artery.[1][6]
Before reaching thehilus of the kidney, each artery divides into four or five branches. The anterior branches (the upper, middle, lower and apical segmental arteries) lie between the renal vein andureter, the vein being in front, the ureter behind. The posterior branches, which are fewer in number and include the posterior segmental artery, are usually situated behind the ureter.[7]
Each vessel gives off some smallinferior suprarenal branches to thesuprarenal gland, theureter, and the surrounding cellular tissue and muscles.
One or two accessory renal arteries are frequently found, especially on the left side since they usually arise from the aorta, and may come off above (more common) or below the main artery. Instead of entering the kidney at the hilus, they usually pierce the upper or lower part of the organ.
The arterial supply of the kidneys is variable and there may be one or more renal arteries supplying each kidney.[1] It is located above the renal vein. Supernumerary renal arteries (two or more arteries to a single kidney) are the most common renovascular anomaly, occurrence ranging from 25% to 40% of kidneys.[8] Aberrant renal arteries may be present, and may complicate surgical procedures.[9]
Renal artery stenosis, or narrowing of one or both renal arteries will lead to hypertension as the affected kidneys releaserenin to increase blood pressure to preserve perfusion to the kidneys. RAS is typically diagnosed with duplex ultrasonography of the renal arteries. It is treated with the use of balloon angioplasty and stents, if necessary.
Atherosclerosis can also affect the renal arteries and can lead to poor perfusion of the kidneys leading to reduced kidney function and, possibly,renal failure
A dilated renal artery measuring twice its normal size indicates a renal artery aneurysm.[4]
A renal artery is damaged in 4% ofblunt traumas and 7% ofpenetrating traumas to theabdomen.[10]
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This article incorporates text in thepublic domain frompage 610 of the 20th edition ofGray's Anatomy(1918)
