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Treatments for Renal Hypertension. Medications are used first to try to control high blood pressure in renal hypertension. The most important blood pressure medications to treat renal hypertension include: 1  ACE inhibitors (angiotensin converting enzyme inhibitors). 2  ARBs (angiotensin II receptor blockers).
Renovascular hypertension is as likely to occur with bilateral stenosis (when arteries to both kidneys are narrowed) as with unilateral stenosis (when the artery to one kidney is narrowed). The decreased blood flow to the kidneys impairs renal function. Renal artery stenosis may cause renal failure in some patients. There is no predictable relationship between renal failure and renal artery stenosis. Some patients have very severe bilateral stenosis and normal renal function.