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The Effect of Balloon Angioplasty on Hypertension in Atherosclerotic Renal-Artery Stenosis
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Journal Article
The Effect of Balloon Angioplasty on Hypertension in Atherosclerotic Renal-Artery Stenosis
2000
Overview
Experiments conducted by Goldblatt and colleagues
1
on the effects of renal-artery constriction in animals led to the recognition that renal-artery stenosis may cause hypertension. Initially, surgical revascularization was the only treatment for renal-artery stenosis,
2
,
3
but percutaneous transluminal balloon angioplasty,
4
with or without stent placement, later supplanted surgery as the preferred treatment.
5
In uncontrolled, retrospective studies of balloon angioplasty, 36 to 100 percent of patients with hypertension had some reduction in blood pressure, with the highest rates of response in patients with fibromuscular dysplasia,
6
but in few patients, however, was blood pressure restored to normal levels. In two small, randomized . . .
Publisher
Massachusetts Medical Society
