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Renal artery stenting has a high technical success rate, but the rate of improvement in hypertension is somewhat less than expected with this technique. Misinterpretation of angiographic images may play a role in these unfavorable clinical results. We present a case in which the diagnosis of severe renal artery stenosis was not apparent by angiography. Intravascular ultrasound and translesional pressure gradient measurements during arteriography can help to determine the precise severity of stenosis and may augment the clinical results of percutaneous renal artery stent placement. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.22177","type":"journal-article","created":{"date-parts":[[2009,6,15]],"date-time":"2009-06-15T18:42:58Z","timestamp":1245091378000},"page":"38-42","source":"Crossref","is-referenced-by-count":4,"title":["Limitations of angiography for the assessment of renal artery stenosis and treatment implications"],"prefix":"10.1002","volume":"75","author":[{"given":"Akin","family":"Cam","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan K.","family":"Chhatriwalla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir R.","family":"Kapadia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,7,29]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-199405000-00015"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra032393"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.127351"},{"key":"e_1_2_4_5_2","first-page":"46N","article-title":"Prevalence of atherosclerotic renal artery stenosis in patients with atherosclerosis elsewhere","volume":"88","author":"Olin JW","year":"1990","journal-title":"Am J Med"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000240426.53079.46"},{"key":"e_1_2_4_7_2","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/S0094-0143(21)00941-1","article-title":"Surgery and percutaneous angioplasty in the management of renovascular hypertension","volume":"21","author":"Libertino JA","year":"1994","journal-title":"Urol Clin North Am"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.3.1830561"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000094621.61428.d5"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199702133360702"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(98)70025-3"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/92.3.159"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.216.1.r00jl0778"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-199917120-00010"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.31.3.823"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1000599"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.116958"},{"key":"e_1_2_4_18_2","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1038\/sj.jhh.1002185","article-title":"Angioplasty and STent for Renal Artery Lesions (ASTRAL trial): Rationale, methods and results so far","volume":"21","author":"Mistry S","year":"2007","journal-title":"J Hum Hypertens"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000176301.69756.28"},{"key":"e_1_2_4_20_2","first-page":"807","article-title":"The benefit of STent placement and blood pressure and lipid\u2010lowering for the prevention of progression of renal dysfunction caused by Atherosclerotic ostial stenosis of the Renal artery. The STAR\u2010study: Rationale and study design","volume":"16","author":"Bax L","year":"2003","journal-title":"J Nephrol"},{"key":"e_1_2_4_21_2","first-page":"47A","article-title":"Lack of benefit of renal artery revascularization in atherosclerotic renovascular disease (ARVD): Result of the ASTRAL Trial","volume":"19","author":"Wheatley K","year":"2008","journal-title":"J Am Soc Nephrol"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio1448"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.540039"},{"key":"e_1_2_4_24_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200004063421403"},{"key":"e_1_2_4_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2007.00213.x"},{"key":"e_1_2_4_26_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2203001444"},{"key":"e_1_2_4_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21095"},{"key":"e_1_2_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(98)70428-2"},{"key":"e_1_2_4_29_2","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550(2001)008<0238:IUGRAS>2.0.CO;2"},{"key":"e_1_2_4_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/08860220601166305"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.22177","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.22177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T20:09:45Z","timestamp":1697054985000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.22177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,29]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,1]]}},"alternative-id":["10.1002\/ccd.22177"],"URL":"https:\/\/doi.org\/10.1002\/ccd.22177","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7,29]]}}}