Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function
Authors: Ion S. Jovin
Journal: Annals of Internal Medicine (2010)

Letters2 February 2010Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal FunctionIon S. Jovin, MD, ScD and On Topaz, MDIon S. Jovin, MD, ScDFrom Virginia Commonwealth University, Richmond, VA 23284.Search for more papers by this author and On Topaz, MDFrom Virginia Commonwealth University, Richmond, VA 23284.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-3-201002020-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read with interest the randomized trial on renal artery stenting by Bax and colleagues (1). We agree that randomized trials are ultimately the way to prove or disprove the usefulness of renal artery angioplasty and stenting in the treatment of renal artery stenosis. However, we are concerned that, because of several issues, this particular study will do neither.First, the abstract is inconsistent. The Results section, which should essentially reflect a nonsignificant reduction in the primary end point and no significant difference in the secondary end point, is not adequately summarized, and the Conclusion section does ...References1. Bax L, Woittiez AJ, Kouwenberg HJ, Mali WP, Buskens E, Beek FJ, et al. Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial. Ann Intern Med. 2009;150:840-8, W150-1. [PMID: 19414832] LinkGoogle Scholar2. Szczech LA, Coladonato JA, Owen WF. Key concepts in biostatistics: using statistics to answer the question “is there a difference?”. Semin Dial. 2002;15:347-51. [PMID: 12358639] CrossrefMedlineGoogle Scholar3. Schwarzwälder U, Zeller T. Critical review of indications for renal artery stenting: do randomized trials give the answer? Catheter Cardiovasc Interv. 2009;74:251-6. [PMID: 19434748] MedlineGoogle Scholar4. Schoenberg SO, Bock M, Kallinowski F, Just A. Correlation of hemodynamic impact and morphologic degree of renal artery stenosis in a canine model. J Am Soc Nephrol. 2000;11:2190-8. [PMID: 11095642] CrossrefMedlineGoogle Scholar5. Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, et al; American Association for Vascular Surgery. ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. J Am Coll Cardiol. 2006;47:1239-312. [PMID: 16545667] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Virginia Commonwealth University, Richmond, VA 23284.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoStent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function Liesbeth Bax , Arend-Jan J. Woittiez , Hans J. Kouwenberg , Willem P.T.M. Mali , Erik Buskens , Frederik J.A. Beek , Branko Braam , Frans T.M. Huysmans , Leo J. Schultze Kool , Matthieu J.C.M. Rutten , Cornelius J. Doorenbos , Johannes C.N.M. Aarts , Ton J. Rabelink , Pierre-François Plouin , Alain Raynaud , Gert A. van Montfrans , Jim A. Reekers , Anton H. van den Meiracker , Peter M.T. Pattynama , Peter J.G. van de Ven , Dammis Vroegindeweij , Abraham A. Kroon , Michiel W. de Haan , Cornelis T. Postma , and Jaap J. Beutler Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function Liesbeth Bax , Willem P.T.M. Mali , and Jaap J. Beutler Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function Samuel J. Mann and Thomas A. Sos Metrics Cited ByPEI for allograft renal artery stenosis: a unique role and broad implications for renal artery stenosis treatment 2 February 2010Volume 152, Issue 3Page: 197-198KeywordsCreatinineForecastingHeartRenal arteriesRevascularizationStenosisStent implantation ePublished: 2 February 2010 Issue Published: 2 February 2010 CopyrightCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...