Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function
Authors: Samuel J. Mann
Journal: Annals of Internal Medicine (2010)

Letters2 February 2010Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal FunctionSamuel J. Mann, MD and Thomas A. Sos, MDSamuel J. Mann, MDFrom Weill Cornell Medical College, New York, NY 10021.Search for more papers by this author and Thomas A. Sos, MDFrom Weill Cornell Medical College, New York, NY 10021.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-3-201002020-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:When the results of a randomized trial disagree with clinical experience and previous publications, their validity merits critical examination. In the STAR (STent placement and blood pressure and lipid-lowering for the prevention of progression of renal dysfunction caused by Atherosclerotic ostial stenosis of the Renal artery) trial assessing the efficacy of renal artery stenting, Bax and colleagues reported no benefit and recommended avoiding stenting in patients with renal artery stenosis (1). This could lead to denial of the procedure, by physicians and by managed care organizations, to patients who truly need it.We have personally observed many ...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. Simon G. What is critical renal artery stenosis? Implications for treatment. Am J Hypertens. 2000;13:1189-93. [PMID: 11078179] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Weill Cornell Medical College, New York, NY 10021.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 Ion S. Jovin and On Topaz Stent Placement in Patients With Atherosclerotic Renal Artery Stenosis and Impaired Renal Function Liesbeth Bax , Willem P.T.M. Mali , and Jaap J. Beutler Metrics Cited byInterventional Radiologic Techniques for Screening, Diagnosis and Treatment of Patients with Renal Artery Stenosis 2 February 2010Volume 152, Issue 3Page: 197KeywordsAngioplastyBlood pressureHypertensionPatientsRenal arteriesRenal failureResistant hypertensionStenosisStent implantation ePublished: 2 February 2010 Issue Published: 2 February 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...