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A thorough clinical examination and the presence of a typical abdominal bruit may provide helpful hints to identify hypertensive patients with possible renal artery stenosis. Testing for renovascular hypertension includes renal artery imaging, assessment of its functional significance, and evaluation for possible revascularization. Renal artery stenosis secondary to fibromuscular dysplasia should be mechanically corrected. For atherosclerotic renal artery stenosis, medical management can be attempted so long as it does not cause a decline of kidney function. In patients who are candidates for renovascular revascularization, surgical intervention can be helpful in improving blood pressure control and possibly halting the progression of renal failure. Randomized controlled trials comparing direct stenting with other surgical methods are necessary to define the best revascularization strategy in patients with renovascular hypertension. A careful follow\u2010up study after renal artery revascularization should evaluate possible benefits in halting the deterioration of chronic renal insufficiency.<\/jats:italic> <\/jats:p>","DOI":"10.1111\/j.1524-6175.2002.01455.x","type":"journal-article","created":{"date-parts":[[2007,5,31]],"date-time":"2007-05-31T08:16:38Z","timestamp":1180599398000},"page":"363-370","source":"Crossref","is-referenced-by-count":6,"title":["Renal Artery Stenosis: Diagnosis and Management"],"prefix":"10.1111","volume":"4","author":[{"given":"Tudor D.","family":"Vagaonescu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Dangas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,5,31]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1084\/jem.59.3.347"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1148\/78.6.879"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(64)90208-6"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.4.4.541"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(21)00203-2"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.25.2866"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)80223-X"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(93)90340-R"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6035.554"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0954-6820.1981.tb11628.x"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-199608000-00015"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V2111608"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1991.122"},{"issue":"9","key":"e_1_2_5_15_2","first-page":"877","article-title":"Diagnosis of renovascular hypertension","volume":"45","author":"Hunt JC","year":"1969","journal-title":"Bull N Y Acad Med"},{"key":"e_1_2_5_16_2","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1001\/jama.1972.03200090031005","article-title":"for the Cooperative Study of Renovascular Hypertension. 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