【Abstract】 Atherosclerotic renal artery stenosis (ARAS) is a disease that is caused by atherosclerosis and stenosis or occlusion of the renal artery and its branches.In China,that is the primary cause of renal artery stenosis (RAS).Percutaneous renal angioplasty (PTRA) and percutaneous renal artery stenting (PTRAS) as the first choice were used for ARAS.The conclusion that several clinical trials fail to demonstrate the major benefits of endovascular stenting for renal artery stenosis in additionto optimal medical therapy has stirred up controversy.The choice of treatment options for patients with ARAS has become a problem for clinicians.In recent years, New domestic and foreign researchs show the predictive value of some test items and indications are the key to ensure the efficacy of endovascular procedure.This article reviews the predictive value of new test items,indications and the current controversy of ARAS.