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Renal artery stenosis
2% of patients underoing coronary angiography in one study had bilateral RAS > 50%.[3] In this study, 11% had van cleef and arpels wedding ring replica at least unilateral RAS. Of these patients one third do not have a history of hypertension; however, the rate of hypertension among those with bilateral disease was not reported.In a second study of patients patients underoing coronary angiography, 4% has bilateral RAS with both lesions > 50% while 1.5% had both lesions > 75%.[4] Among all the van cleef and arpels perlee ring replica patients with either unilateral or bilateral RAS, half had hypertension.In an autopsy study, 10 of 15 patients with bilateral RAS (defined as reduction in artery diameter by 50%) were normotensive by history (defined van cleef & arpels wedding ring replica as diastolic pressure [5] Other autopsy studies are Lisa[6] who obtained similar results and Blackman[7] and Richardson[8] who found lower prevalences.The clinical relevance of these patients is unclear.[9]A clinical prediction rule (link) can help diagnose.[10]Various treatment options exist and no single therapy is superior to others according to a systematic review.[11]A more recent trial suggests that surgery leads to improved patency rates at 4 years (88% versus 68%); however, angioplasty improved renal function and tended to have less mortality after 4 years (18% vs 25%).[12]Angioplasty with or without stentsing may be safer than surgical revascularization.[12]ing improves the patency rates after angioplasty[13] This trial found no statistical significance in differences on blood pressure and renal function; however, this study excluded patients with reduced renal function due to their stenoses.
2% of patients underoing coronary angiography in one study had bilateral RAS > 50%.[3] In this study, 11% had van cleef and arpels wedding ring replica at least unilateral RAS. Of these patients one third do not have a history of hypertension; however, the rate of hypertension among those with bilateral disease was not reported.In a second study of patients patients underoing coronary angiography, 4% has bilateral RAS with both lesions > 50% while 1.5% had both lesions > 75%.[4] Among all the van cleef and arpels perlee ring replica patients with either unilateral or bilateral RAS, half had hypertension.In an autopsy study, 10 of 15 patients with bilateral RAS (defined as reduction in artery diameter by 50%) were normotensive by history (defined van cleef & arpels wedding ring replica as diastolic pressure [5] Other autopsy studies are Lisa[6] who obtained similar results and Blackman[7] and Richardson[8] who found lower prevalences.The clinical relevance of these patients is unclear.[9]A clinical prediction rule (link) can help diagnose.[10]Various treatment options exist and no single therapy is superior to others according to a systematic review.[11]A more recent trial suggests that surgery leads to improved patency rates at 4 years (88% versus 68%); however, angioplasty improved renal function and tended to have less mortality after 4 years (18% vs 25%).[12]Angioplasty with or without stentsing may be safer than surgical revascularization.[12]ing improves the patency rates after angioplasty[13] This trial found no statistical significance in differences on blood pressure and renal function; however, this study excluded patients with reduced renal function due to their stenoses.
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