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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]
The renal circulation supplies the blood to the kidneys via the renal arteries, left and right, which branch directly from the abdominal aorta. Despite their relatively small size, the kidneys receive approximately 20% of the cardiac output .
The interlobar arteries are vessels of the renal circulation which supply the renal lobes. The interlobar arteries branch from the lobar arteries which branch from the segmental arteries , from the renal artery .
A recessed area on the concave border is the renal hilum, where the renal artery enters the kidney and the renal vein and ureter leave. The kidney is surrounded by tough fibrous tissue, the renal capsule , which is itself surrounded by perirenal fat , renal fascia , and pararenal fat .
When renal blood flow is reduced (indicating hypotension) or there is a decrease in sodium or chloride ion concentration, the macula densa of the distal tubule releases prostaglandins (mainly PGI2 and PGE2) and nitric oxide, which cause the juxtaglomerular cells lining the afferent arterioles to release renin, activating the renin–angiotensin–aldosterone system, to increase blood pressure ...
The arcuate arteries of the kidney, also known as arciform arteries, [1] are vessels of the renal circulation. They are located at the border of the renal cortex and renal medulla. They are named after the fact that they are shaped in arcs due to the nature of the shape of the renal medulla. Arcuate arteries arise from renal interlobar arteries ...
Cortical radial arteries, formerly known as interlobular arteries, [1] are renal blood vessels given off at right angles from the side of the arcuate arteries looking toward the cortical substance. The interlobular arteries pass directly outward between the medullary rays to reach the fibrous tunic, where they end in the capillary network of ...
However, this reduces blood flow to the kidneys. To compensate, the efferent arterioles constrict to a greater degree than the other arteries, in response to increased levels of angiotensin II. Pressure in glomerular capillaries is therefore maintained and glomerular filtration rate remains adequate.